FORM-28
[See Rule 54, 58 (1), (3) and (4) ]
Form of application for ‘No Objection Certificate
and grant of Certificate
( To be made in triplicate, the duplicate and the triplicate copy with the endorsement of the registering authority to be returned
to the owner of the vehicle and the registering authority in whose jurisdiction the vehicle is not to be removed , respectively )
To:
The Registering Authority,
RTA NARASARAOPET
I/we intend to transfer the vehicle to the jurisdiction of the Registering Authority. BATHINDA I/we intend to sell the vehicle to
Shri/Smt./Kumari ________________________________________. Who resides in the jurisdiction of the Registering authority
BATHINDA , BATHINDA of the state of PUNJAB I/we therefore request for the issue of a no objection certificate for my/our vehicle the
particulars of which are famished below:
1. Name : V SRINIVASA RAO
2.Address : DOOR NUMBER 6-31,OLD TOWN , 6TH WARD,MACHERLA
[OTHER],MACHERLA
GUNTUR
ANDHRA PRADESH,INDIA,522426.
2. Son / wife/ daughter of : S/O: Basavaiah
3. Registration No of the Vehicle : AP39U1377
4. Class of vehicle : Goods Carriage
5. Registering Authority which originally registered the : RTA NARASARAOPET
Vehicle. KOTAPPAKONDA ROAD, K S RAO COLONY YALLAMANDA
6. Engine No. : ISB5.9B4S230T181M63755998
7. Chassis No.-Affix pencil print : MAT541127K1A01087
8. Period of stay in the state : 2 Years 10 Months
9. Period up to which motor vehicle tax has been paid : 31-03-2022
10.Whether any demand for tax is pending , if so , give details :
11.Whether the vehicle is invalid in theft case , if so give details :
12.Whether any action under section 53, 54 or 55 of the motor :
Vehicles Act 1988 is pending before any registering authority
Or other prescribed authority , if so give details
13. Whether the vehicle is involved in any case of transport of :
Prohibited goods , if so give details.
14 .Whether the vehicle is held under an agreement of :
Hirepurchase/
lease/Hypothentication, if so give full name and address
I / We solemnly declare that the above statements are true
Signature or thumb impression of
the owner of the vehicle
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Office Endorsement
PART II
(Grant / refusal of ‘No objection certificate’ under sub-section 3 of section 48 of M.V.Act 1988 )
(i) No objection certificate in respect of the vehicle , the detailed particulars where of recorded overleaf is hereby granted under section
48 (3) of M.V. Act 1988.
(ii) No objection certificate in respect of the motor vehicle , the detailed particulars where of recorded overleaf is hereby refused under
section 48 (3) of M.V. Act 1988 for the reasons recorded as under:-
VELPULA SRINIVASARAO , Son / wife/ daughter of: S/O: BASAVAIAH,DOOR NUMBER 6-31,OLD TOWN , 6TH WARD,MACHERLA
.............................................................................................................................................................................
[OTHER],MACHERLA
.............................................................................................................................................................................
GUNTUR
..................
Signature with seal of registering
authority
RTA NARASARAOPET
Office Endorsement
PART III
AP1070044782022
No …………………………….date 20-01-2022
……………………………………..office BATHINDA
of the ……………………………….....................................
20-01-2022
Acknowledgement for the receipt of application for ‘No Objection Certificate’.The application dated …………………………….
RTA NARASARAOPET, KOTAPPAKONDA ROAD, K S RAO COLONY YALLAMANDA
from ……………………………………………………...............................................................................(name and address)
VILLAGE, NARASARAOPETA GUNTUR DIST PIN :522601
AP39U1377
for the grant of a ‘No Objection Certificate’ in respect of vehicle number ………………………………..….has been received on
………………………………………………….and
20-01-2022 is under consideration .
Signature of Registering Authority
or the person authorised by him
RTA NARASARAOPET
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