APPLICATION TO THE REGIONAL TRANSPORT AUTHORITY FOR ISSUANCE

OF DUPLICATE DRIVING LICENCE.

Before the Regional Transport Officer, ___________________, ___________.

Affidavit of _______,S/o./D/o., ____________ aged_____ years,R/o

_________________ .

I, the above named deponent, solemnly affirm and state as under:

1. That I am the applicant in the application for the issue of duplicate driving
licence and as such fully conversant with the facts deposed to below.
2. That I was issued driving licence no.________ on _________ by your office
to drive and with gears.
3. That my driving licence no. ____________ has been lost on or about
__________, for which I have lodged FIR with Police Station,
__________vide FIR No. _________ dated _____________.
4. That I have not deposited the said driving license with any Court or any other
public authority.
5. That my licence has not been cancelled and no charge sheet has been filed
against me for any offence under the Motor Vehicles Act or Rules made
thereunder or any other law for the time being in force.
6. That I am otherwise qualified to hold the driving licence.
7. That if the original licence will be found, I undertake to deposit the same with
your office.
8. That in view of the above, it is necessary that duplicate driving licence be
issued to me.

DEPONENT

Signed at _____________ this ___day of ____,

VERIFICATION
I, ________the above named deponent do hereby verify on oath that the contents
of the affidavit above are true to my personal knowledge and nothing material has
been concealed or falsely stated. Verified at _______this ______day of______

DEPONENT