DUPLICATE RC OR INSURANCE AFFIDAVIT
Executed at Jalandhar on 1 April 2026.
I, Neha Sharma, daughter of Ashok Sharma, aged about 34 years, resident of House No. 61, Guru Nanak Nagar, Jalandhar 144001, holding Aadhaar 5555 6666 7777, applying within the State of Punjab (the "Deponent" or "I"), do hereby solemnly affirm and declare as follows:
- 1. THE APPLICATION
1.1 I make this affidavit in support of an application for a duplicate Registration Certificate, the original having been lost, stolen, destroyed or badly mutilated.
1.2 I make this affidavit for filing before SDM-cum-Registering & Licensing Authority, Jalandhar.
- 2. THE VEHICLE
2.1 Particulars of the Vehicle: make and model Bajaj Pulsar 150, registration number PB08 BT 3390, presently standing in the Registration Certificate in the name of Neha Sharma.
2.2 Chassis number: MD2A11AY9K123456.
2.3 Engine number: DJPCH1234567.
- 3. CIRCUMSTANCES OF LOSS
3.1 The Registration Certificate was in my wallet, which was lost while travelling by bus from Jalandhar to Amritsar on 5 September 2026; despite a diligent search it has not been found. I have not found the original since, I have not misused it, and I have not pledged, hypothecated or handed it to any other person as security; if I find it after a duplicate is issued, I undertake to surrender it to SDM-cum-Registering & Licensing Authority, Jalandhar.
3.2 I lodged a report of the loss, particulars of which are: DDR No. 214/2026 dated 6 September 2026, Police Station Division No. 4, Jalandhar.
- 4. DECLARATION
4.1 Every statement made above is true to my own knowledge, information and belief, and I have concealed nothing material to this application. I am aware that furnishing false information in support of this application is an offence under the Motor Vehicles Act, 1988, or, as the case may be, is a false declaration to the insurer, and that the duplicate sought is liable to be refused, or cancelled, if any statement made here is found false.
VERIFICATION
Verified at Jalandhar on 1 April 2026 that the contents of paragraphs 1 to 4 above are true and correct to my own knowledge, that no part of it is false, and that nothing material has been concealed.
DEPONENT
Signature: ______________________________
Neha Sharma
ATTESTATION
Solemnly affirmed and signed before me on 1 April 2026 at Jalandhar, the Deponent having been identified to my satisfaction by Aadhaar 5555 6666 7777.