4 Form L.L.D [Rule 14 of the Punjab] Motor Vehicle Ordinance, 1969 INTIMATION OF LOSS OR DESTRUCTION OF LICENSE AND APPLICATION FOR DUPLICATE NATIONAL IDENTITY CARD NUMBER _ [ |-| TO The Licensing Authority. TT Name: | | | L S/O or WIO: T of(Permanent Address): and (Present Address): ae Date of Birth Blood Group hereby report that driving License No. issued by The Licensing Authority < for on or about the day of 20 has been lost destroyed in the following circumstances:-2 | herby apply for a duplicate license and tender five rupees in the form of judicial stamps. 3. attach two clear copies of a recent photograph of myself (I) The 20 Signature or thumb impression of applicant For use in the office of the Licensing Authority PARTI . (1) Duplicate of driving licence No . first granted on .... . has been issued by me this ........... date of (2) Application refused in letter No . dated the .... . to the applicant giving reasons. Licensing Authority PART Il Forwarded to the Licensing Authority . for verification and completion of Part Ill. Licensing Authority (1):Stritlt qut alternative not required.3 PART Ill Returned to the Licensing Authority ... The photograph and signature (1) have been compared with my records thumb-impression ‘No such license appears to have been issued by this office (1) 1am not satisfied that the applicant was the holder of the license described (1) 1am satisfied that the applicant was the holder of a licence issued by this office as follows:-(1) (1) Number. (2) Date of issue 20 (3) Last renewed by the licensing Auuthority .. (4) Date of expiry 20 5) Classes of vehicles (2) ... 6) The license a) entitled the holder to drive as a paid employee (1) b) carried as Authorisation to drive a public service vehicle granted by (1) .... ¢) carreid the following endorsements: Licensing Authority 1. Strike out alternative required. 2. Here fill in b.c. etc. as specified in Section 8,2, of the Act.PART IV Returned to the Licensing Authority . .. for record. A duplicate license has been issued by me on the of... 20 (1) A copy of the photograph affixed there to is attached | have, in my letter No .. ..dated the . declined to issue the duplicate licensed applied for copy of ‘that letter is attached (1) Licensing Authority (Date) (1) Strike out alternative not required.