Application No: OR231224V8185278

FORM 29
[SEE RULE 55(1)]
NOTICE OF TRANSFER OF OWNERSHIP OF A MOTOR VEHICLE

( To be made in duplicate and the duplicate copy with the endorsement of the Registering Authority to be returned to the transferor or immediately on making entries of transfer of
ownership in certificate of Registration and Form 24).

To
THE REGISTERING AUTHORITY,
PURI RTO, (in whose jurisdiction the Transferee resides)

I/we MR PRASHANTA BEHERA Resident of AT-BASUDEIPUR,PO-BISWANATHPUR. PS-SATYABADI,PURI,,Pincode-752014,Odisha have on the 24 day of Dec the year 2023
sold and delivered my/our vehicle No OD13E6737 Maker HERO MOTOCORP LTD Chassis No MBLJA06AMG9E08006 [Engine No or motor number in the case of Battery Operated
Vehicles] JA06EJG9E07781 to Shri/Smt SUJAN PRADHAN (Name) son/wife/daughter of BIJAYA PRADHAN Residing at BARAJHANGA BARAJHANGA Gorual ,,,Puri,Pincode-
752002,Odisha (House No./Street Village/Town Distt. and State) under an agreement of hire purchase/lease/hypothecation with

The Registration Certificate and Insurance certificate have been handed over to him /her/them.

To the best of my/our knowledge and belief the vehicle is not superdari and free from all encumberances and information furnished is true .
I/We undertake to hold my/our self-responsible for any inaccuracy or suspension of information.

Signature of the Financier Signature /digital signature/ e-signature of owner of motor vehicle or authorised dealer of registered vehicle.
(as his consent) (Transferor)
Date:_____________________ Date:_____________________

I/We SUJAN PRADHAN (Transferee)

Copy to the Registering Authority PURI RTOin whose jurisdiction the transferor reside.
Note :- To be sent to the Registering Authority by Registered post Acknowledgment Due.

OFFICE ENDORSEMENT
Ref No ___________________ office of the PURI RTO
The ownership of the vehicle has been transferred to the name of SUJAN PRADHAN With the note of above said agreement with effect from 24-Dec-2023 (date).

Signature of the Registering Authority

Date:_____________________
(With Office Seal)
* Strike out whichever is inapplicable.

To
The Transferor MR PRASHANTA BEHERA
AT-BASUDEIPUR,PO-BISWANATHPUR. PS-SATYABADI,PURI,,Pincode-752014,Odisha
(To be sent by Registered Post Acknowledgement Due)

Enclosed Documents:
1. Original Registration Certificate
2. Self Attested copy of valid vehicle insurance certificate
3. Self Attested copy of address proof of the registered vehicle owner

Note:Application for this service is applied via ONLINEFEE .In case of any data discrepancy, please contact respective State/RTO department.