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  • Apply for Learner's Licence Form

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    Malsawmsanga Ralte
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    This document contains an application form for a learner's license. The form requests information such as name, address, date of birth, educational qualifications, identification marks, blood type, current licenses held if any, a medical fitness certificate, and consent from a parent or guardian if the applicant is a minor. The applicant must also submit a recent passport photo. The form allows the applicant to select which types of vehicles they want the learner's license to be applicable to, such as motorcycles, cars, buses, and more.

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    leaner-licence-form-2

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    This document contains an application form for a learner's license. The form requests information such as name, address, date of birth, educational qualifications, identification marks, blood type, current licenses held if any, a medical fitness certificate, and consent from a parent or guardian if the applicant is a minor. The applicant must also submit a recent passport photo. The form allows the applicant to select which types of vehicles they want the learner's license to be applicable to, such as motorcycles, cars, buses, and more.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views1 page

    Apply for Learner's Licence Form

    Uploaded by

    Malsawmsanga Ralte
    This document contains an application form for a learner's license. The form requests information such as name, address, date of birth, educational qualifications, identification marks, blood type, current licenses held if any, a medical fitness certificate, and consent from a parent or guardian if the applicant is a minor. The applicant must also submit a recent passport photo. The form allows the applicant to select which types of vehicles they want the learner's license to be applicable to, such as motorcycles, cars, buses, and more.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    FORM - 2

    { See Rule 10 }

    APPLICATION FOR THE GRANT OF LEARNER’S LICENCE

    To, Space for one


    recent passport
    The Licensing Authority size photograph
    Aizawl, Mizoram ( compusory )

    I hereby apply for a licence authorising me to drive as a learner’s the


    following vehicle (s) :-
    (a) Motor Cycle withour gear (g) PSV ( Bus )
    (b) Motor Cycle with gear (h) CNEQP
    (c) Invalid Carriage (i) 3W - TSR
    (d)Light Motor Vehicle NT/GV/CAB (j) 3W - NT
    (e) Transport Vehicles ( TRANS TR )
    (f) Road Roller
    Motor Vehicle of a specified description, namely : ...........................................

    PARTICULARS TO BE FURNISHED BY APPLICANT

    1. Full Name : _________________________________________________

    2. Son/Wife/Daughter : _________________________________________
    3. Permanent Addess ___________________________________________
    ( Electoral Roll / Life Insuarance Policy / Passport / Any other document or
    documents as may be prescribed by the State Government / Affidavit sworn
    before an Executive Magistrate or a First Class Judicial Magistrate or a Notary
    Public to be enclosed )
    4. Temporary address / Official address, if any _____________________
    5. Date of Birth ( dd mm yyy )
    ( Birth Certificate / School certificate / affidavit sworn by an Executive Magistrate
    or first class judicial Magistrate or a notary Public to be enclosed )
    6. Educational Qualification : ________________________________
    7. Identification Mark (s):__________________________________________
    8. Blood Group RH ( Rhesus ) factor : ________________________________
    9. I hold an effective driving licence to drive : Motor Cycle / Light Motor
    Vehicle/ Transport Vehicle with effect from _____________________
    10. I enclose Medical fitness certificate dated _______ issued by ______doctor )
    11. I have submitted along with my earlier application for for Learner’s Licence
    / I enclosed the written consent of parent / guardian ( in the case of appli-
    cant being a minor )
    12. I enclosed Driving Certificate dated ________ issued by ______________
    Name and address of the driving school ) _____________________________

    Date : _______________ Signature Or the thumb impression of Applicant

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