APPLICATION FOR INTERNATIONAL DRIVING LICENCE

1. Sur Name (In block letter) : _____________________________

2. Fathers Name : _____________________________

(i.e.explain initials)

3. Year and Date of Birth : _____________________________

4. Town where born : _____________________________

5. Full Name and Address in India : _____________________________

(In block letters)

6. Full details of Indian licence held : _____________________________

Issued by : _____________________________

Valid till date : _____________________________

No.of Licence : _____________________________

7. Class of vehicle for which it is valid : _____________________________

Endorsement regarding conviction
If any (State if previously examined
For driving the same class of vehicles)

8. Passport Number : _____________________________

Date of Issue : _____________________________

Issued by : _____________________________

Date of Expiry : _____________________________

Recruitment:

1. Fee of Rs.651/- to be paid in cash, at Respective Counter :_______________

2. Signature in duplicate : _____________________________
3. Civil driving licence : _____________________________
4. Passport : _____________________________
5. VISA No. : _____________________________
6. 2 Passport size Photographs : _____________________________
7. Medical Certificate : _____________________________

Place .
Date Signature of the Applicant
Specimen signature or thumb impression of the applicant.

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