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
