SELF DECLARATION (For RC – UP RTO)
I, __________________________ (Name),
Son/Daughter/Wife of __________________________,
Resident of _______________________________________________
(Full Address),
do hereby solemnly declare that the details given below are true and correct to the best of my
knowledge and belief.
Vehicle Details:
Vehicle Registration Number: __________________________
Engine Number: __________________________
Chassis Number: __________________________
RTO Name & Code: __________________________ (UP-__)
I confirm that:
• I am the lawful owner of the above-mentioned vehicle.
• The information provided for issuance/correction/duplicate of Registration Certificate (RC) is
correct.
• I take full responsibility for any discrepancy found later, and I shall be liable for action as per the
Motor Vehicles Act, 1988.
I am submitting this self-declaration for RC related work at UP RTO.
Place: ____________________
Date: ____________________
Signature of Applicant: ____________________
Name: ____________________
Mobile No.: ____________________