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
01
02
03
04
05

Motor Cycle/Scooter
Motor Car
Auto Rickshaw
Motor Cab
Invalid Carriage

06
07
08
09
10

Delivery Van
L.T.V
H.T.V
Tractor
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:
(Day

/
/
. C.N.I.C No:.
Month Year)

Qualification: ______________________________

Occupation: _______________________________

Tel No: ___________________________________

Previous Licence No. (if any): __________________

Date: ____________________________
(Rule 2.1 (2) of Punjab Motor Vehicle Rules 1940

Signature and Thumb Impression of Applicant