FORM 103
[See sub- rule (1) of rule 10]
APPLICATION FOR CANCELLATION OF REGISTRATION
To,
THE REGISTERING AUTHORITY,
...........................................
I............................................. on............... behalf ................of ...................................... (Here state the name of registered dealer ) submit the application for the cancellation of the Certificate of Registration No...................,
Issued on ..................... This application for cancellation of the said certificate of registration is submitted on account of ......................
I..................................... Do hereby declare that what is stated herein is true and complete.
*Strike out whichever is not applicable
** To be signed by the dealer or any person duly authorized by him.
_____________________________________________________________________________________________
Acknowledgement
Received an application in Form 103 signed by Shri....................dated.............for cancellation of Certificate of Registration No........................
FOR OFFICE USE
(1) Certificate of Registration No.............. is cancelled on..............
(2) Details of cancellation published under rule 11 on ....................