Section 12 (2) (a) and 12 (3) (a) – Statement of change of possession of Motor Vehicle
ප ගණකයට ඇතළත් කළ හැ ෙ ඉංගීසි පමණ බැ—න් අය පත ඉංගීසිෙයන් මු ණය කර ඇත. එය ඉංගීසිෙයන් පමණ
පර—ය යුතය.
සිංහල හා ෙදමළ අ ථය පසුපට ද වා ඇත.
கணன யான
ேவ
. சி
ஆ
கில ைத ம
கள , தமி
ேம ஏ
ஆகியவ றி
ெகா
வதா
ெமாழிெபய
இ
ப வ
ட
ஆ
கில தி
இைண க ப
அைம
ள
ள
.
. அ
ஆ
கில தி
தி ெச
ய பட
Since the Computer accepts only English the form is in English. It should be filled in English. The Sinhala and Tamil
meanings are given on the other side.
To: THE COMMISSIONER OF MOTOR TAFFIC, COLOMBO
Date of Transfer
Date
Month
Year
1.
(Name of Transferor)
of
(Address of Transferor)
Transferred the possession of Motor Vehicle No.
to
(Name of Transferee)
of
(Address of Transferee)
City
Who has signed below in acknowledgement of the transfer.
…………………………………………
සා ෂ /
පවරන්නාෙග් අත්සන/மா
..................................................................................................................................ஆகிய நா
....................................................................................................இல க
ஒ
........................................................................................................................................................... எ
(மா றி ெப
Since the Computer accepts only English the form is in English. It should be filled in English. The Sinhala and Tamil
meanings are given on the other side.
To: The Commissioner of Motor Traffic
Colombo
Consequent on a transfer from (name of the transferor)
1. (Name of the transferee)
Of (address of the transferee)
City
declare that I am entitled to the possession of Motor Vehicle No :
and hereby apply to be registered as the new owner thereof :
I. Purpose for which the vehicle will be used
II. Licensing Authority
Divisional Secretariat
District
Commercial
Private
ய பட
III. Date of coming into possession
D
IV. පළාත ෙවනස්වන්ෙන් න
மாகாண
M
අංක තහඩුව ලබාගන්නා දස්ති
மா ற ப
ேபா
இல க தக
ெப
ෙල්ක
ெகா
Y
කා යාලය
ள ப
மாவ ட
:
In case of change of province, Number Plate will be collected at District Secretariat :
V. පහත සඳහන් ලය ය ල ෙ
ப
வ
ப திர
க
இ
සමග එව .
ட
இைண க ப
ளன
The following documents are attached herewith :
I. වාහනෙය් ලයාපදං
வாகன தி
பதி
ෙ
சா
සහතකය
றித
Certificate of Registration of vehicle
II. ආදාය
බලපතය / බලපත ගාස්ත ෙගවා ලබා ගත් ක තාන්සිය / පා
(வ ) அ
மதி ப திர
/ (ைலச
உபேயாகி காைம ப றிய அறிவ
) அ
தலி
மதி ப திர க டண ைத
ப ரதி
ෙනා
ெகா
ෙ
பன
නිෙ දනෙය් පටපත
ெச தத காக கா
ப
சீ
/
Revenue Licence / Cash receipt for the payment of licence duty / Copy of the notice of Non-User.
ෙමහි සඳහන් ක ණ හැම අතන්ම සත හා නිවැරද බව පකාශ කර .
இதி
ெகா
ப
ள வ பர
க
யா
உ
ைமயானைவ எ
ச யானைவ எ
நா
இ தா
ெவள ப
கி
ேற
.
I here by declare that the particulars given herein are true and accurate in every respect.
නව අයිතක ෙග් අත්සන
திய உைடைமயாள
ைகெயா ப
Signature of New Owner
දනය /திகதி/ Date : …………………………………