I, Sri ……………, s/o. …………………., residing at ………………………….., do hereby solemnly affirm and declare as follows.
1. That I am the registered owner of Two-Wheeler ……………………… bearing
Registration Number ………………..
Maker’s Name: ……………..
Date of Registration: …………………
Registration Validity: ……………
Model: ………………..
Chasis No: ……………………………
Engine No: ……………………….
Color: ……………………….
Vechile Class: ………………………..
Owner’s Name: ……………………..
Issued by Govt. Of West Bengal
2. I do hereby appoint and authorised Mr. ………………………, s/o. ………………………., residing at …………………………………, South 24 Pgs.
3. That my above mentioned authorised person’s driving License NO. ………………….. dated ………………………….. issued by Govt of West Bengal
Date of Issue ……………..
Valid till:
Date of Birth ………………
4. That this authorisation is valid from ……………………….. to ………………….
5. That we are all Indian National.
_____________________ Signature of the Owner
____________________________
Signature of the Authorised person
Signature is attested by
Signature of the Owner. Identified By me
Advocate Notary Public Seal and Stamp
I, …………………………, S/o…………………………, aged ………. years, Resident at …………………………, ………., ………., ………., India,Do hereby solemnly affirm and declare as under:
Identified by me, | ||
Advocate, ………. | Deponent Signature | |
Sworn before me | ||
Deponent Signature | Notary Public, ………. |
I, …………………………, aged ………. years, S/o………………………… residing at …………………………, ………., ………., India,Do hereby solemnly affirm and declare as under:
Identified by me, | ||
Advocate, ………. | Deponent Signature | |
Sworn before me | ||
Deponent Signature | Notary Public, ………. |
I, …………………………, aged ………. years, S/o………………………… residing at …………………………, ………., ………., India,Do hereby solemnly affirm and declare as under:
Identified by me, | ||
Advocate, ………. | Deponent Signature | |
Sworn before me | ||
Deponent Signature | Notary Public, ………. |
I, …………………………, aged ………. years, S/o………………………… residing at …………………………, ………., ………., India,Do hereby solemnly affirm and declare as under:
Identified by me, | ||
Advocate, ………. | Deponent Signature | |
Sworn before me | ||
Deponent Signature | Notary Public, ………. |
I, …………………………, S/o…………………………, aged ………. years, Resident at …………………………, ………., ………., ………., India,Do hereby solemnly affirm and declare as under:
Identified by me, | ||
Advocate, ………. | Deponent Signature | |
Sworn before me | ||
Deponent Signature | Notary Public, ………. |
I, …………………………, aged ………. years, ……….………. residing at …………………………, ………., ………., India,Do hereby solemnly affirm and declare as under:
Identified by me, | ||
Advocate, ………. | Deponent Signature | |
Sworn before me | ||
Deponent Signature | Notary Public, ………. |
I, …………………………, aged ………. years, S/o………………………… residing at …………………………, ………., ………., India,Do hereby solemnly affirm and declare as under:
Identified by me, | ||
Advocate, ………. | Deponent Signature | |
Sworn before me | ||
Deponent Signature | Notary Public, ………. |
I, …………………………, W/o ………………………… and D/o …………………………, aged ………. years, Resident at …………………………, ………., ………., India,Do hereby solemnly affirm and declare as under:
Identified by me, | ||
Advocate, ………. | Deponent Signature | |
Sworn before me | ||
Deponent Signature | Notary Public, ………. |
I, …………………………, S/o…………………………, aged ………. years, residing at …………………………, …………………………, India, changed my name from ………………………… to ………………………… vide affidavit dated ………., sworn before notary ………..