NOC Request For Pre-Owned Vehicle.pdf

Date (DD/MM/YYYY) is 33. Name of the Seller/Agent is 34. Father's/Husband's Details Name is 35. Date of Function is 36. Permanent Address of Applicant is (H.No/Street No./Mohalla) in 37. Tehsil, 38. Police Station, 39. District, 40. State. Please tick mark option A or B: A. RECOVERY STATUS OF STOLEN VEHICLE (My vehicle has been stolen. Please let me know whether it has been recovered.) or B. INVOLVEMENT IN CRIME (I am interested in purchasing/owning following vehicle. Please let me know if it is involved in any crime). DETAILS OF VEHICLE IN QUESTION are: Make, Model, Type, Registration No., Chasis No., Engine No., State, District, P.S., FIR No. (For Option A only), Dated. Documents to be attached are: Residence Proof of Applicant, Copy of Registration Certificate, Photograph of Applicant, Self-Declaration. I declare that all the above information given by me, is best of my knowledge & belief, in future if any information find false then any legal action can be taken against me. Signature of the Applicant, Application Number, Date of Application, Name of Block & Tehsil, Details of Person Filling the Application Form. Self-Attested Photo of Beneficiary, Live photo will be captured. Personal Data of Beneficiary/Complainant includes: 1.Name, 2. Address, 3. Relation with Beneficiary, 4.Name of Person/Organization, 5. Gender, 6. Date of Birth, 7.Father's Name, 8.Mother's Name, 9. Region, 10. Permanent Address of Applicant, 11. Village (Only in case of Rural), 12. Sub District/Tehsil, 13. District, 14. State, 15. PIN Code, 16. Country, 17. Police station, 18. Nationality, 19. Marital Status, 20. Spouse Name, 21. Email ID, 22. Contact Number, 23. Region, 24. Correspondence Address of Applicant, 25. Village (Only in case of Rural), 26. Sub District/Tehsil, 27. District, 28. State, 29. PIN Code, 30. Voter ID Card Number, 31. Aadhaar card (UID), 32. Aadhaar Enrollment Number (if Aadhaar not issued). Facilitation Charges: Rs. 100.