I, Mr. , hereby certify having sold a vehicle bearing number to Mr. , for the sum of ONE rupee only (R 1), which I acknowledge to have received in cash.

Registration Mark
Make
Model
Rating
CC
Engine No.
Chassis No.
Date of First Registration
Date of Sale
12 DECEMBER 2025

We certify that this original is identical to the other original with which it has been duly collated.