Form 2 - Form Of Application For The Grant Or Renewal Of Learner'S Licence

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FORM 2
(See Rule 10)
FORM OF APPLICATION FOR THE GRANT OR
RENEWAL OF LEARNER'S LICENCE
To
The Licensing Authority,
Space for
____________________
Passport
Size
I hereby apply for a Licence authorising me to drive as a
Photograph
learner, the following motor vehicle(s) :-
(a) Motor cycle without gear
(b) Motor cycle with gear
(c) Invalid carriage
(d) Light Motor vehicle
(e) Medium goods vehicle
(f) Medium passengers motor vehicle
(g) Heavy goods vehicle
(h) Heavy passenger motor vehicle
(I) Road Roller
Motor vehicle of description
.......................
Particulars to be furnished by Applicant
1. Full Name
2. Son/Wife/Daughter of
3. Permanent address
(Proof to be enclosed)
4. Temporary address
Official address(if any)
5. Date of birth
(proof of age to age enclosed)
6. Educational qualification
7. Identification mark(s)
8. Optional-Blood Group RH FACTOR
9. I hold an effective driving Licence to drive
(a) Motor cycle/light motor vehicle/medium passenger
motor vehicle/medium goods vehicle with effect from

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