 DATE: 

16-12-2021
TIME: 05:27:52 PM

TRANSPORT DEPARTMENT, GOVERNMENT OF GUJARAT
Application Reference Details

Application Reference Slip

Application No  :  4415368021   Name  :  SHAILESHBHAI T PANCHAL
Application Date  :  16-12-2021   Date of Birth  :  07-02-1962
  Father's
Blood Group  :  B-   :  THAKORLAL PANCHAL
Name
Applicant
  :  Male DL NUmber  :  GJ06 20050084475
Gender
DL COVs  :  MCWG NT Validity  :  07-02-2017 to 06-02-2022

Services Requested Documentary Proof Required

• Driving Licence
newal of DL
• Address Proof (Present)
hange of Address in DL
• Medical Certificate-Form1A

cation Number is generated for the above mentioned services. The application number is: 4415368021 . An SMS has been sent to your
ered mobile Number : ******3468 .
cation submitted through eKYC.
1:  The mentioned service(s) are Faceless / Contactless hence you are not required to visit RTO / RLA Office for same. The acceptanc
cation is subject to successful Scrutiny of uploaded data / documents in accordance with legal provision.
      2:  Application status can be tracked online, if application status is “Reverted” modify documents accordingly.

For any reference visit: https://sarathi.parivahan.gov.in/sarathiservice

Applicant Address : RTO Location :

25/B, KAMLANEHRU PARK, RTO,VADODARA
NIZAMPURA, REGIONAL TRANSPORT OFFICER
VADODARA NR GOLDEN CHOKDI,
Pincode : 390002            NH8DARJIPURA,VADODARA 390006,
PinCode:  390006

Phone:  0265-2562497

 Application Form (pre filled)

 Print Form1
 Print Form1-A
 Print Acknowledgement