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INDIAN UNION DRIVING LICENCE AS

GOVERNMENT OF ASSAM
AS05 20180000722

Date Of First Issue 20-04-2018


Issue Date Validity ( NT ) Validity ( TR )
20-04-2018 19-04-2038

Holder's Signature
Name : SRI BIBEK KUMAR BARMAN
Date Of Birth : 22-07-1999 Blood Group: A+ Organ Donor :No
Son/Daughter/Wife of : SRI DR MRINAL KUMAR BARMAN
Present Address
VILL-RAIDONGIA PO-KAMARBONDHA,
PS GOLAGHAT DIST GOLAGHAT,
Golaghat,Golaghat,AS,785625
DL No. AS05 20180000722
ADPVEH No.(Regn.Numbers) :

Hazardous validity Hill Validity

Form 7 Rule 16(2)


Class of Date of Vehicle Badge Badge Badge
Vehicle Code Issued by issued date Issued By
Issue Category Number

MCWG AS05 20-04-2018 NT

LMV AS05 20-04-2018 NT

Emergency Contact Number


Licencing Authority
DTO,GOLAGHAT

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