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    12 views3 pages

    New Document

    Uploaded by

    suresh

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    © All Rights Reserved
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    ‘130122, 1037 Pm ‘APPLICATION FOR THE GRANT OF LEARENER'S LICENCE AF °LICATI IR. |ER'S LICENCE 1 ‘ks for using Online Leamer Licence slot booking Service NOTE:Please follow the bel 1. Please sanitize your hands 2, Please wear a mask. 3. Please maintain Physical | stancing £ Please follow the COVID- ) guidelines issued by Government / Competent Authority, 5. Please Visit the RTA Offic in the Time Slot booked, Dear RAJESHWARI VAGJI Your learner licence test slot h v safety rules when at RTA Office » been confirmed on 01/02/2022 from 11:30 AM — 12:00 PM, Payment Paid ENCLOSURES 1. Application Fee R 300.00 1, Address Proof 2. Service Charge R 100.00 2. Date of Birth Proof 2. Test Fee R 50.00 Total R450 Please bring above mention: | enclosures (All originals as well as one set of xerox copy). ‘Application Number: T8415/84£ 1/2022/L To The Licensing Authority, UNIT OFFICE PATANCHERUVU, ‘ IRVEY NO. 152/A ,BESIDE SR GARDENS, ‘Time Siot Serial Number: Thereby apply for a licence au \orising me to drive as a learner, the following motor vehicle(s): 1. Motor Cycle Without Gea - NON-TRANSPORT 2. Light Motor Vehicle Non -ansport - NON-TRANSPORT PARTICULARS TO BE FURNISHED BY APPLICANT. i. [Name of the Applicant RADESHWARI VAG f2._[Son/wife/Daughter of ‘SURESH ._ [sex FEMALE |4. [Permanent Address (Proof t 3e enclosed) | 8-3-228/678/1512 i [SRIRAM NAGAR, YOUSUF GUDA Pin-500045 5. [Temporen/Oficial Address (ny) l-2 JPOLICE QUARTER, BESIDE POLICE STATION pin-502032 6._[Date of Birth (OD/MMIYYYY 16/06/1992 [| Educational Qualification 10 | 7. [identification Marks 1, AMOLE ON THE RIGHT SIDE NOSE 2. AMOLE ON THE LEFT PALM. 9. [Blood Group [AB | 10. [ Thold an effective driving li nce to drive 11. | Particulars of any driving ic ne with effect from i "ce Previously held by applicant whether it was cancelled and if so, for what reasons 12. [Particulars of any learners b ‘noe Previously held by applicant in respect ofthe description of vehicle to which the applicant | ‘https /Mgiransport.neVTGCFSTONLINE/L OnlineLLRtorm2print. aspx?Appieationnoeress

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