Form 30

4/5/24, 6:09 PM Form 30
Form 30
Application No:DL240405X6584460
[See rules 55(2)and (3)]
Application For Intimation and Transfer of Ownership of a Motor Vehicle
(To be made in duplicate if the vehicle is held under agreement of hire purchase/lease/hypothecation. The duplicate copy
with the endorsement of the Registering Authority to be returned to the Financier simultaneously on making the entry of
Transfer of Ownership in the Certificate of Registration and Registration Record in Form 24)
To
THE REGISTERING AUTHORITY,
WAZIRPUR
PART-I FOR THE USE OF THE TRANSFEROR
Name of the Transferor DINESH KUMAR PALIWAL Son/Wife/Daughter of MANSINGH PALIWAL
Full Address H NO-80 HARSH VIHARPITAM PURA

I/we, here by declare that I/we have on this day .................. 05-Apr of the year 2024 sold my/our motor vehicle bearing
Registration mark DL8SCF9296 to Shri/Smt. TARUN PALIWAL Son/Wife/Daughter of SURENDER KUMAR PALIWAL residing at
HARSH VIHAR, DELHI, , Delhi, 110034 (Full Address) and handed over the Certification of Registration and the Registration
and the Certification of Insurance to him/her/them.
I/We hereby declare that to the best of my/our knowledge the Certificate of Registration of the vehicle has not been
suspended* or canceled.
*I/We enclose the (No Objection Certificate) issued by the Registering Authority.
**If the "No Objection Certificate" issued from the Registering Authority is not enclosed, the transferor should file along
with this application a declaration as required under sub -section(1) of Section-50.
Date:_____________________Signature or thumb impression of the Transferor
*Details of suspension or cancellation

**Strike out whichever is inapplicable.
PART-II FOR THE USE OF TRANSFEREE
Name of the Transferee TARUN PALIWAL Son/Wife/Daughter of SURENDER KUMAR PALIWAL Age ............ Full Address
HARSH VIHAR, DELHI, , Delhi, 110034, (Proof of Address to be enclosed).
I/we, here by declare that I/we have on this day_____________________ Fri Apr 05 00:00:00 IST 2024 of the year Sun Jan 21
00:00:00 IST 2018 Purchased the motor vehicle bearing registration Number DL8SCF9296 from DINESH KUMAR PALIWAL
and request that necessary entries regarding the transfer of ownership of the vehicle in my/our name may be recorded in
the Certificate of Registration/Certificate of Fitness of the vehicle which is enclosed.
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4/5/24, 6:09 PM Form 30
The certificate of Insurance is also enclosed.To the best of my knowledge and belief, I/We have not suppressed any facts
and information furnished is true. The vehicle is not superdari and free from all in encumbrances. I/We undertake to hold
myself responsible for any inaccuracy of information.
Date:_____________________Signature or thumb impression of the Transferee
Consent of the financier in the case of motor vehicle subject to an agreement of Hire-Purchase/Lease/Hypothecation
I/We being a party to an agreement of hire-purchase/lease/hypothecation in respect of motor vehicles pecified above give
consent to the transfer of ownership of the said motor vehicle in the name of Transferee named above , with whom I/We
have bound into an agreement of hire-purchase/lease/ hypothecation.
(Full name and address of the Financier)
Signature of the Financier

Date:_____________________
Date:_____________________
OFFICE ENDORSEMENT
Ref. No. ___________________office of the WAZIRPUR .
The transfer of ownership of the vehicle under continuation of an endorsement of the hire-purchase/lease/hypothecation
agreement has been recorded with effect from ____________ in the Registration Certificate of the vehicle DL8SCF9296 and in
the registration record of this office in Form 24.
Date:_____________________Signature of Registering Authority
To
The Financier,
(To be sent by Registered Post Acknowledgment Due)
Specimen signature or thumb impression of the registered owner and the Financier are to be obtained in the original
application for affixing and attestation by the Registering Authority with the office seal in Forms 23 and 24, in such manner
that the parts of impression of seal or stamp and attestation shall fall upon each signature.
Specimen Signature of the FinancierSpecimen Signature of Registered Owner
1. 1.
2. 2.
4/5/24, 6:09 PM Form 30
Enclosed Documents:
Original Registration Certificate

Copy of valid vehicle insurance certificate (Self Attested)
Copy of Purchaser's Address Proof (Self Attested)
Copy of valid pollution certificate (Self Attested)
No objection certificate from the financier (if applicable)

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4/5/24, 6:09 PM Form 30

THE REGISTERING AUTHORITY,

PART-I FOR THE USE OF THE TRANSFEROR

Name of the Transferor DINESH KUMAR PALIWAL Son/Wife/Daughter of MANSINGH PALIWAL

Full Address H NO-80 HARSH VIHARPITAM PURA

Date:_____________________Signature or thumb impression of the Transferor

*Details of suspension or cancellation

PART-II FOR THE USE OF TRANSFEREE

Date:_____________________Signature or thumb impression of the Transferee

Signature of the Financier

Ref. No. ___________________office of the WAZIRPUR .

Date:_____________________Signature of Registering Authority

(To be sent by Registered Post Acknowledgment Due)

Specimen Signature of the FinancierSpecimen Signature of Registered Owner

Original Registration Certificate

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