Self Declaration Form for RC Services

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This document is a self-declaration form for individuals submitting documents to the Registering and Licensing Authority (RLA) related to vehicle registration certificates. It contains the f…

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Navpreet Dhiman
  • Self Declaration
  • Verification

SELF

DECLARATION/ UNDERTA

(Regarding taking care of file


after submitting the same in RLA with
Vehicle/Renewal of RC/Addition or Deletion of
hypothecation/C

CNG/Alternation in
Vehicle/Transfer of ownership within state
Certificate/Duplicate RC/Transfer of ownership in death
case/Transfer o
services related to
RC)

To
be used in the office of Registering & Licensing Authority,

I....................................................................
S/D/W/........................................
[Link]..................................................................
Sector/Village....................

Near......................................................................
, Chandigarh.

1. That I accept through this Self Declaration/Undertaking


that I will keep
submitting the
same in the office of RLA and I will produce the file/docume
& Licensing Authority, U.T.,
Chandigarh, any Court of Law or any po

demanded.
2. That I am applying for the
service................................................................
3. That my Landline Number
is.........................................., Current Mobile

and Alternate
Mobile Number...........................................
4. That my email address
is.............................................................................
5. That I am
enclosing................................................................................

..................................................................................
for Date of Birth.

1/2
Verification:

Verified
that the information given at 2,3,4 and 5 and undertaking for
takin
[Link].1 is correct and
nothing has been concealed therein.

2/2

1/2
SELF
DECLARATION/ UNDERTA
(Regarding taking care of file
 after submitting the same in RLA with
Vehicle/Renewal of RC/Add
2/2
Verification: 
Verified
that the information given at 2,3,4 and 5 and undertaking for
 takin
Sr.No.1 is correct and
nothi

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