AFFIDAVIT

I / We, Mr./Mrs./Ms./M/s. ___________________________________________

S/o_________________________________________R/o ______________________________________

_____________________________________________________________________________________

Do hereby solemnly affirm and declare as under:

1. That I am the owner of the Vehicle bearing Regd No:_______________________________________

Engine No. ________________________________Chassis No. __________________________________

Make. ____________________________________Model. _____________________________________

2. That I have got No Objection Certification (N.O.C) for the vehicle on ___________. However, I have
<<reason for cancellation of NOC>>

3. That I have not misused the vehicle.

4. That I am getting NOC cancelled w.e.f___________________________ in your office

5. That all documents of vehicle address are right and genuine and if found bogus I shall be responsible
for the same.

Despondent

VERIFICATION: Verified that the above statement of mine is true and correct to the best of my
knowledge.

Place: _______________________ Dated: _______________________

Despondent