Form 4 - Form Of Application For License To Drive A Motor Vehicle Page 3

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Certificate of Test of Competence to drive
The applicant has passed the test prescribed under rule 15 of the
Central Motor Vehicles Rules, 1989. The test was conducted on
(here enter the registration mark and description of the vehicle)
(date)
The applicant has failed in the test. (The details of the deficiency to be
listed out.)
Date
Signature of Testing Authority.
Full name and designation
Two specimen signatures of applicant :
(1)
(2)
______________________________
Strike out whichever is inapplicable.

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