10.07.2015 Views

Form 21 (See Rule 47 (a) and (d) Sale Certificate (To be issued by ...

Form 21 (See Rule 47 (a) and (d) Sale Certificate (To be issued by ...

Form 21 (See Rule 47 (a) and (d) Sale Certificate (To be issued by ...

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<strong>Form</strong> <strong>21</strong>(<strong>See</strong> <strong>Rule</strong> <strong>47</strong> (a) <strong>and</strong> (d)<strong>Sale</strong> <strong>Certificate</strong>(<strong>To</strong> <strong>be</strong> <strong>issued</strong> <strong>by</strong> Manufacturer/Dealer or officer of Defense Department (In case ofMilitary auctioned vehicles) for presentation along with the application for registration ofa motor vehicle)Certified that .............................................................................................................(Br<strong>and</strong> name of the vehicle)has <strong>be</strong>en delivered <strong>by</strong> us to .............................................................................on .............. ....... ...... . ...... (date)Name of the buyerSon/wife/daughter ofAddress (Permanent)(Temporary)The vehicle is held under agreement of Hire Purchase/Lease/Hypothecationwith......................................................................................................................................The details of the vehicle are given <strong>be</strong>low:1. Class of vehicle2. Maker's num<strong>be</strong>r3. Chassis Num<strong>be</strong>r4. Engine Num<strong>be</strong>r5. Horse power or Cubic Capacity6. Fuel used7. No. of Cylinders8. Month <strong>and</strong> Year of Manufacture9. Seating capacity (including driver)10. Unladen weight


11. Maximum axle weight <strong>and</strong> num<strong>be</strong>r <strong>and</strong> description of tyres(In case of Transport vehicle)(a) Front axle(b) Rear axle(c) Any other axle(d) T<strong>and</strong>em axle12. Colour or colours of the body13. Gross vehicle weight14. Type of body.Strike out whichever is inapplicable.Signature of Manufacturer/Dealer orOfficer of Defense Department.

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