FORM 9
(See Rule 18 (1)
Form of application for the Renewal of Driving Licence
  1. Sri / Smt / Kumari______________________________ Son / Wife / daughter of___________________________

    _______________________hereby apply for the renewal of my driving lecence which is attached and particulars of

    which are as follows :
    1. Number ____________________________________

    2. Date of issue :____________________________________________

    3. Licencing Authority by which the Licence was issued _________________________________________

    4. Licencing Authority by which the Licence was last renewed number And date of renewal______________________________________

    5. Class of vehicles authorised to be driven______________________________________________

    6. Date of expiry of licence


To drive______________________________________________________________________
  1. Transport vehicle___________________________________________________

  2. Vehicles other than transport Vehicles_____________________________


My present address is _________________________________________

                                 _________________________________________

                                 _________________________________________

If this address is not entered on the licence I do/do not wish that it should be so entered.

If the licence is not attached, reasons why it is not available?___________________________________________ ______________________________________________________________________________

If the licence was not renewed within thirty days of the date expiry, reasons for delay
______________________________________________________________________________

The renewal of licence has not been refused by Licensing Authority.

I have not been disqualifed for holding or obtaining a driving licence. My Licence has not Been revoked.

I enclose a Medical Fitness Certificate Form 1.

I enclose three copies of my recent photographs (5 cm X 6 cm)

I have paid the fee of Rs________________________________________________

I have paid the fee of Rs________________________________________________

I hereby declare that to the best of my knowledge and belief the particulars given are true.

 

Date__________________________________ Signature or thumb impression
of applicant

Name________________________.

MEDICAL CERTIFICATE


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