Form 2 - Form Of Application For The Grant Or Renewal Of Learner'S Licence (Page 2 of 3) in pdf

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

10. Particulars of any driving Licence

previously held by applicant Whether

it was cancelled and if so, for what

reason:

11. Particulars of any learner's Licence

previously held up in respect of the

description of vehicle to which the

applicant has applied.

12. Have you been disqualified for

holding or obtaining driving Licence

or learner's Licence if so, for what

reason.

13. I enclose 3 copies of my recent pho-

tograph (passport size photograph)

14. I enclose medical fitness certific-

ate dated .............. issued by

doctor.

15. I have submitted along with my earlier application of Learner's

Licence/enclose the written concent of parents/guardian (in case

of applicant being a minor)

16. I enclose driving certificate dated ................ issued by

....................... (Name & address of the driving school)

17. I have the fee of the Rs. .......................

18. I am exempted the Medical test under rule of Central Motor

Vehicle Rules 1989.

19. I am exempted from the preliminary test under rule 11 (12) of

Central Motor Vehicle Rules. 1989. Strike out whichever is

inapplicable.

Date ...................

Specimen signature or thumb impression of applicant

… … … … … … … … … … … … … … ............................

........................… … … … … … … … … … … … … … .....

Specimen signature or thumb impression of applicant

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