FORM 34
[See Rule 60]
Application for making an entry of an agreement of Hire Purchase, Lease Hypothecation subsequent to registration
(To be made in duplicate)



To
The Registering Authority,
__________________________


The motor vehicle bearning Registration No.____________________________________
is the subject of an agreement of Hire - purchase / Lease / Hypothecation between _______________________________________ ____________________________________________________________________________________________________________ the Registered Owner / Person to be registered as owner and _________________________________________________________ ____________________________________________________________________________________________________________

( FULL NAME & FULL ADDRESS OF THE FINANCIER)

We request that an Entry of the agreement be made in the certificate of Registration & relevant records in your office.The certificate of registration together with the appropriate fee is enclosed.


Date        ________________________
Signature/thumb impression of Registered owner





________________________
Signature of Financier.


*STRIKE OUT WHICHEVER IS NOT APPLICABLE.



OFFICE ENDORSMENT


R.No______________________________ Date       

Office of the ________________________________

The entry of the agreement of hire - purchase / lease / hypothecation as requested above is recorded in this office Registration record in Form 24 and Certificate of Registration on
      

D D   M M   Y Y Y Y



Date         ________________________
Signature of the
Registering Authority


To
The Financier
_____________________________________

_____________________________________


To
The Registering Authority,
__________________________


    ( To be sent to both the above parties by Regd. Post

Ack. Due) Specimen signatures or thumb impressions of the registered owner and Financier are to be obtained for affixing and attestation be the Registering Authority with official seal in Form 23 & 24 in such manner that part of impression of the seal or a stamp and attestation shall fall upon each signature)



__________________________
Specimen Signature of Financier
______________________________
Specimen signature of Reg. Owner