Application of Learners Driving Licence

To,
The Licensing Authority,
____________________________________

____________________________________

I hereby apply for a permit authorizing me to drive as a learner, a vehicle of the following
description

Motor Cycle/Scooter Delivery Van
Motor Car L.T.V
Auto Rickshaw H.T.V
Motor Cab Tractor
Invalid Carriage Road Roller

Applicants Data
(Write in block letters, as you want on the driving licence)

Name of Applicant:



Fathers/ Husbands Name:


Permanent Address:




Present Address:




Mailing Address:





Date of Birth: / / . C.N.I.C No:.
(Day Month Year)



Qualification: ______________________________ Occupation: _______________________________



Tel No: ___________________________________ Previous Licence No. (if any): __________________








Date: ____________________________ Signature and Thumb Impression of Applicant


(Rule 2.1 (2) of Punjab Motor Vehicle Rules 1940

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