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Application For Renewal of Driving License

This is an application form for renewal of a driving license from the Department of Transport. It requests personal details of the applicant such as name, gender, mobile number, address, and identification numbers. It also asks for previous license details like the license number, issue and renewal dates, classes of vehicles authorized, and reasons for delays in renewal. The applicant must provide their original license, fitness certificate, payment receipt, and signature.

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Heera Kardong
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0% found this document useful (0 votes)
195 views2 pages

Application For Renewal of Driving License

This is an application form for renewal of a driving license from the Department of Transport. It requests personal details of the applicant such as name, gender, mobile number, address, and identification numbers. It also asks for previous license details like the license number, issue and renewal dates, classes of vehicles authorized, and reasons for delays in renewal. The applicant must provide their original license, fitness certificate, payment receipt, and signature.

Uploaded by

Heera Kardong
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Department: DEPARTMENT OF TRANSPORT

APPLICATION FOR RENEWAL OF DRIVING LICENSE

( , - )
(Marked Fields are mandatory)
(*চিহ্নযু ক্ত তথ্যব োৰ োধ্যতোমূ লক)

Applicant’s Details (আবেদনকাৰীৰ বেৱৰণ)


*Applicant’s Name (আব দনকোৰীৰ নোম) ………………………………………..
*Applicant Gender ( ) Male Female
*Mobile Number ( ম োইল নম্বৰ ) ………………………………………..
Relationship ( ) ………………………………………..
Relative Name ( ) ………………………………………..
Mail Id ( ) ………………………………………..
Pan Number ( ) ………………………………………..
Aadhar card Number ( ) ………………………………………..
Address Details ( )
*State (ৰোজ্য) ………………………….
*District(চজ্লো) ………………………….
*Sub-Division (মহকুমো) …………………………..
*Circle Office(ৰোজ্হ িক্র) ………………………….
Present Address ………………………….. (e.g 78xxxx)

Signature of the applicant


(আব দনকোৰীৰ িোক্ষৰ)

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Department: DEPARTMENT OF TRANSPORT
APPLICATION FOR DRIVING LICENSE
( , - )
(Marked Fields are mandatory)
(*চিহ্নযু ক্ত তথ্যব োৰ োধ্যতোমূ লক)
Previous Licence Details ( )
Licence Number ( ) ………………………………………..
Date of Issue ( ) ………………………………………..
Licensing Authority issuing the licence ………………………………………..
( )
Licensing Authority Renewing the licence ………………………………………..
( )
Last Renewal No. and Date ………………………………………..
( )
Class of Vehicle Authorized to Drive ………………………………………..
( , )
Transport Vehicle ( , ) ………………………………………..
Vehicle other than Transport Vehicle ………………………………………..
( , , )
Want Address on the Licence ………………………………………..
( )
Reason if Licence not Attached ………………………………………..
( )
Reason if Licence not renewed in 30 days ………………………………………..
( )
Date of Expiry of Licence to drive ( ) ………………………………………..
Paid Amount (Fees)
Supporting Documents (সংলগ্ন নচথ্)
1. *Original Driving License.
( )
2. Form No. 9 with fitness certificate.
( )
3. Any Other Document.( )
Signature of the applicant
(আব দনকোৰীৰ িোক্ষৰ)
……………~………………
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