Application No: TN221009V6782086

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,
TIRUPPUR (NORTH) RTO, (in whose jurisdiction the Transferee resides)

I/we GOVINDASAMY S Resident of D NO 17 SIVSSUBRAMANIAM STREET,TIRUPUR,TIRUPUR,,Pincode-641604,Tamil Nadu have on the 09 day of Oct the year 2022 sold and
delivered my/our vehicle No TN39BC9291 Maker HERO HONDA MOTORS LTD Chassis No MBLJA05EGB9L03242 [Engine No or motor number in the case of Battery Operated
Vehicles] JA05EBB9L03184 to Shri/Smt DEEPA GOVINDASAMY (Name) son/wife/daughter of SUBBARAYAN Residing at 31, SIVASUBRAMANIAM CHETTIAR
STREET,TIRUPPUR,OPPOSITE PREETHI SERVICE CENTRE,Tiruppur,Pincode-641604,Tamil Nadu (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 or thumb impression of the Registered owner.

(as his consent) (Transferor)
Date:_____________________ Date:_____________________

I/We DEEPA GOVINDASAMY (Transferee)

Copy to the Registering Authority TIRUPPUR (NORTH) 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 TIRUPPUR (NORTH) RTO
The ownership of the vehicle has been transferred to the name of DEEPA GOVINDASAMY With the note of above said agreement with effect from 09-Oct-2022(date).

Signature of the Registering Authority

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

To
The Transferor GOVINDASAMY S
D NO 17 SIVSSUBRAMANIAM STREET,TIRUPUR,TIRUPUR,,Pincode-641604,Tamil Nadu
(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

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