International Driving Permit Page 2

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2. Father’s or
Husband’s name
:
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3. Place of Birth and Country:
(Proof to be enclosed)
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4. Address
:
(a) Present
:
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(b) Permanent
:
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5. Date of Birth (Proof to :
to be enclosed)
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6. Educational Qualification :
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
7. Identification marks
: 1.
2.
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8. Blood Group/RH factor
:
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9. Have you previously held
International Driving
Permit ? If so give details :
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10. Particulars and date of
every conviction which
has been ordered to be
endorsed on any driving
licence held by the
applicant.
:
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11. Have you been disqualified
for obtaining driving licence
to drive ? If so, for what
reason ?
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12. Have you been subjected to
a driving test as to your
fitness or ability to drive
a vehicle in respect of which
a driving licence is applied
2

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