Application of Learner’s 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 Motor Cycle/Scooter 06 Delivery Van

02 Motor Car 07 L.T.V
03 Auto Rickshaw 08 H.T.V
04 Motor Cab 09 Tractor
05 Invalid Carriage 10 Road Roller

Applicant’s Data
(Write in block letters, as you want on the driving licence)

Name of Applicant:

Father’s/ Husband’s 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