Form of Application for the Grant of Learner's License
FORM 2
[See Rule 10]
FORM OF APPLICANT FOR THE GRANT OF LEARNER’S LICENSE
To
The Licensing Authority,
........................................
........................................
I hereby apply for a license authorizing me to drive as a learner, the following
motor vehicle(s) :-
Space for Photograph
of the Size
Five Centimeters
by Six Centimeters
(a) Motor cycle without gear
(b) Motor cycle with gear
(c) Invalid carriage
(d) Light Motor vehicle
(e) Transport vehicle
(f) Road roller
(g) Motor vehicle of a specified description, namely .....................................................................................................
PARTICULARS TO BE FURNISHED BY APPLICANT
1. Full Name ......................................................................................
2. Son / wife / daughter of ......................................................................................
3. Permanent address ......................................................................................
(Electoral Roll / Life Insurance Policy /
Passport / Pay slip issued by any office of
the Central Government / State Government
or a local body / Any other document or
documents as may be prescribed by the State
Government / Affidavit sworn before an
Executive Magistrate or a First Class Judicial
Magistrate or a Notary Public to be enclosed) ......................................................................................
4. Temporary address / Official address, if any ......................................................................................
5. Duration of stay at the present address ......................................................................................
6. Date of birth
(Birth certificate / school certificate / affidavit
sworn before an Executive Magistrate or a
First Class Judicial Magistrate or a Notary
Public to be enclosed) ......................................................................................
7. Place of birth ......................................................................................
8. If place of birth out side India, when migrated
to India ......................................................................................
9. Education Qualification ......................................................................................
10. Identification mark(s) 1. .................................................................................
2. .................................................................................
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