Surrender
of registration certificate and tokens
(To be completed
by the owner of the motor vehicle when surrendering the registration
certificate)
I,
........................ residing at ........................ hereby declare
that I have withdrawn/intend to withdraw from use my motor vehicle of which the
registration No. is ........................ and that for the reasons specified
below I do not intend to use the said vehicle again for a period of not less
than three months commencing from ........................
Reasons for
non-use in detail
I shall keep the
said motor vehicle during the aforesaid period at the following place.
Location of Garage
........................
(Here insert the
full address of the place or garage where the motor vehicle is kept or will be
kept during the period of its non-use).
I further
declare that I shall not remove the said vehicle from the above- mentioned place
without the previous permission of the Taxation Officer except in case of any
unforeseen occurrence like flood, fire or similar other cause and in which case
intimation thereof shall be sent to the Taxation Officer within twenty-four
hours of such removal.
I hereby
surrender the certificate of registration and token including permit in the
case of a transport vehicle issued in respect of the vehicle.
Date..................
Signature of
applicant
PART II
(To be completed
by the Taxation Officer when returning the form to the owner)
Received from
........................ Registration Certificate No. ........................
and Token No. Book No. ........................ valid for the period commencing
on ........................ 20. and ending ........................ Medical certificate in respect of
an applicant for obtaining a learner’s licence/driving licence or renewal of a
driving licence.........
Date.........20.....
Signature of
Taxation Officer
PART III
(To be completed
by the owner of the motor vehicle when applying for return of the registration
certificate)
I, ........................ hereby apply
for the return of the registration certificate described in Part I above.
*An application for the renewal of token in From “D” is also attached
hereto.
Dated.................
Signature of
Applicant
*To be struck
out if not necessary.
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