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26/11/2023, 15:05 Application Number

Application Reference Slip

Application No : 3918546323 Name : ANJESH KUMAR


Application Date : 10-10-2023 Date of Birth : 05-09-1968
Blood Group : A+ Father Name : SITA RAM
Applicant Gender : Male

Services Requested Documentary Proof Required


• Driving Licence
• Address Proof (Present)
1. Renewal of DL
• Self Declaration Form Punjab
• Medical Certificate-Form1A

Application Number is generated for the above mentioned services. The application number is:
3918546323 .
An SMS has been sent to your registered mobile Number : ******4206 .
Note 1: The mentioned service(s) are Faceless / Contactless hence you are not required to visit RTO /
RLA Office for same. The acceptance of application 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 :

H NO 28 SHERE PUNJAB COLONY BAREWAL ROAD RTA,LUDHIANA


LDH AUTOMATIC DRIVING TETST TRACK
LUDHIANA (WEST),LUDHIANA,PB SCD COLLEGE
Pincode : 141001 LUDHIANA
PinCode: 141001
Phone: 0161-2401002

Application Form (pre filled)


Print Form1
Print Form1-A
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