DELIVERY NOTE

ORIGINAL COPY TO SELLER

Date: _______________ & Time:______________

I / We Mr/Ms/Mrs ___________________________________________________________________ residing

at_______________________________________________________________________________________,

acknowledge that we have taken the physical delivery from Mr./Mrs./Ms./M/s.

_________________________________________________________(Seller Name)

R/o _____________________________________________________________________________________

_________________________________________________________________________________________

of the vehicle described below:

(i) Chassis No. _________________________ (ii) Engine No. _________________________________

iii) Registration No _________________________; (v) Year of manufacture ___________________

(vi) Make / Model / Variant: ___________________________________________________________

We have inspected the vehicle and have found it to our complete satisfaction. From this
date_________________ & time________________ onwards we will be responsible for all types of Traffic
Offence, Police, Legal Litigation and Accident.
All liens, claims and encumbrances prior to the above mentioned date & time shall be the responsibility of the
seller.

Name & Signature of Buyer

Acknowledged by:

Seller’s Name & Signature

 DELIVERY NOTE
SELF COPY

Date: _______________ & Time:______________

I / We Mr/Ms/Mrs ___________________________________________________________________ residing

at_______________________________________________________________________________________,

acknowledge that we have taken the physical delivery from Mr./Mrs./Ms./M/s.

_________________________________________________________(Seller Name)

R/o _____________________________________________________________________________________

_________________________________________________________________________________________

of the vehicle described below:

(i) Chassis No. _________________________ (ii) Engine No. _________________________________

iii) Registration No _________________________; (v) Year of manufacture ___________________

(vi) Make / Model / Variant: ___________________________________________________________

We have inspected the vehicle and have found it to our complete satisfaction. From this
date_________________ & time________________ onwards we will be responsible for all types of Traffic
Offence, Police, Legal Litigation and Accident.
All liens, claims and encumbrances prior to the above mentioned date & time shall be the responsibility of the
seller.

Name & Signature of Buyer

Acknowledged by:

Seller’s Name & Signature