SELF DECLARATION FOR TRANSFER OF OWNERSHIP
This is to certify that I Saharup Mahammad, son of Umid Mohammad, AT/PO -
PATHANPADA, BELGAON, PS - SAINTALA,Balangir, Pincode-767046, Odisha the
registered owner of the Vehicle bearing registration no. OD-05-E-2509 have sold my
Vehicle to Sri Kishor Gauda son of Parshuram Gauda , AT/PO-
GOPALPUR,MADHUPUR,MADHUPUR,Kalahandi,Pincode-766110,Odisha for sum
of Rs.50,000/- on 9th May 2026 and handed over all the original documents to the
Purchaser.
Signature of the Purchaser Signature of the Seller
Date: Date:
UNDERTAKING BY THE PURCHASER
I Sri Kishor Gauda hereby undertake that i will not misuse the vehicle for any illegal
activities and obey all the traffic rules while driving the vehicle. All the original
documents received by me are valid and no cases or issues pending against the
vehicle.
Signature of the Purchaser Signature of the witness
Date: Date: