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FORM 9

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( See rule 18(1) )

Form of application for the renewal of Driving Licence

Space for photograph of

The size five centimeters by

Six centimeters.

I, Shri/Smt./Kumari ………………………………………..Son/Wife/Daughter of …………………………………… hereby apply for the renewal of my driving licence which is attached and particulars of which are as follows :-

(a) Number

(b) Date of issue

the licence was issued

(d) Licensing Authority by which

the licence was last renewed

No. and date of renewal

(e) Class of vehicles authorised

to be driven

(f) Date of expiry of licence to drive

(i) transport vehicle

(ii) vehicles other transport vehicles

My present address is

If this address is not entered on the licence I do/do not wish that it should be so entered.

If the licence is not attached, reasons why it is not available ?

………………………………………………………………………

……………………………………...................................................

If the licence was not renewed within thirty days of the date of expiry, reasons for delay

……………………………………...................................................

The renewal of licence has not been refused by any Licensing Authority.

I have not been disqualified for holding or obtaining a driving licence. My licence has not been revoked.

I enclose Medical Fitness certificate Form 1

I enclose three copies of my photographs(5 cms. By 6 cms. )

I have paid fee of Rs. ……………..

I hereby declare that the best of knowledge and belief the particulars given above are true.

Date ……………… Signature or thumb

impression of applicant

Name ……………………..

Address …………………..

……………………………..

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