Application No: AS240101V2276775

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,
KOKRAJHAR, (in whose jurisdiction the Transferee resides)

I/we SALAM AHMED Resident of NORTH JALUKBARI,NEAR IDGAH FIELD PO-GHY UNIVERSITY,HNO-62 WNO- 5,Kamrup Metropolitan,Pincode-781014,Assam have on the
01 day of Jan the year 2024 sold and delivered my/our vehicle No AS01EX5364 Maker TVS MOTOR COMPANY LTD Chassis No MD626AK31M2K14115 [Engine No or motor
number in the case of Battery Operated Vehicles] AK3KM2114879 to Shri/Smt JAINAL ALI (Name) son/wife/daughter of AKBAR AL Residing at Haligaon ,,,Kamrup,Pincode-
781122,Assam (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 JAINAL ALI (Transferee)

Copy to the Registering Authority KAMRUPin 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 KOKRAJHAR
The ownership of the vehicle has been transferred to the name of JAINAL ALI With the note of above said agreement with effect from 01-Jan-2024 (date).

Signature of the Registering Authority

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

To
The Transferor SALAM AHMED
NORTH JALUKBARI,NEAR IDGAH FIELD PO-GHY UNIVERSITY,HNO-62 WNO- 5,Kamrup Metropolitan,Pincode-781014,Assam
(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.