Form 26

(See Rule 53) Intimate of loss or destruction etc. of the Certificate of Registration and application for the issue of duplicate Certificate of Registration. (To be made in duplicate if the vehicle is held under an agreement of hire purchase/ hypothecation/ lease and the duplicate copy with the endorsement of Registering Authority to be returned to the Registering Authority. ........................ Sir, The Certificate of Registration of my/our Motor Vehicle the Registration Mark of which is ............................. has been lost/destroyed/completely written off/ soiled /tern/multilated in the following circumstances. ............................................................................. ............................................................................. I/we hereby declare that the best of my/our knowledge the registration of the vehicle has not been suspended or cancelled under the provisions of the Act. or rules made there under and the circumstances explained above are true. I/we hereby apply for the issue of a duplicate certificate of Registration. The write a off/soiled/torn/ multilated Certificate of registration is enclosed. The vehicle is not held under any agreement of her-purchase/leas/hypothecation. I/We have reported the loss to Police Station on .......................... (date). Date .......... Signature/Thumb impression of applicant along with full address

Strike out whichever is inapplicable. The vehicle is hold under hire purchase/lease/hypothecation agreement with ....................... and the No Objection Certificate obtained from the financier. (Where No Objection Certificate is not enclosed applicant shall make a declaration as required sub-section (8) of Section (51). Signature of the owner Name ...................... Full Address ............... Specimen signature of the owner (1)

Note:- (1) Full particulars of the circumstances shall be furnished in the case of lose or ditruction of the Registration Certificate. (2) Strike out whichever is inapplicable.

For Office Endorsement

Number ................. Date.............. Office of the ................... A duplicate Certificate of registration as requested above is issued with the note agreement of hire purchase/ lease/ hypothecation on .............................. and is noted in the original registration. Record in Form 24. Signature of the registering Authority To .................... .................... (Name and address of the financier By registered post or delivery under proper acknowledgement

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