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    Form 9 A

    Uploaded by

    frenz2kiran
    This document is an application for a duplicate driving license. It contains information about a lost, destroyed, or damaged original license including the license number and expiration date. The applicant declares that to their knowledge, the original license had not been suspended or cancelled. They are requesting a duplicate license and have included a police report about the lost original license. They also provide their signature, address, and specimen signatures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Form 9 A

    Uploaded by

    frenz2kiran
    40 views1 page
    This document is an application for a duplicate driving license. It contains information about a lost, destroyed, or damaged original license including the license number and expiration date. The applicant declares that to their knowledge, the original license had not been suspended or cancelled. They are requesting a duplicate license and have included a police report about the lost original license. They also provide their signature, address, and specimen signatures.

    Original Description:

    duplicate driving licence form

    Original Title

    form9a

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    This document is an application for a duplicate driving license. It contains information about a lost, destroyed, or damaged original license including the license number and expiration date. The applicant declares that to their knowledge, the original license had not been suspended or cancelled. They are requesting a duplicate license and have included a police report about the lost original license. They also provide their signature, address, and specimen signatures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    40 views1 page

    Form 9 A

    Uploaded by

    frenz2kiran
    This document is an application for a duplicate driving license. It contains information about a lost, destroyed, or damaged original license including the license number and expiration date. The applicant declares that to their knowledge, the original license had not been suspended or cancelled. They are requesting a duplicate license and have included a police report about the lost original license. They also provide their signature, address, and specimen signatures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    FORM 9-A

    [See Rule 26(1) (20 (30]



    INTIMATION OF LOSS OR DESTRUCTION OF THE DRIVING LICENSE AND
    APPLICATION FOR THE ISSUE OF DUPLICATE DRIVING LICNSE.

    To
    The Licensing Authority,



    Sir,
    The Driving License No . which is valid up
    to .. has been lost / destroyed / completely written off / spoiled / torn / mutilated
    in the following circumstances.



    I/We hereby declare that to the best of my/our knowledge that the Driving License has not
    been suspended or cancelled under the provision of the Act or Rules made thereunder and the
    circumstances explained above are true.

    I/We do hereby apply for the issue of a duplicate Driving License.

    The written off/spoiled/torn/mutilated certificate of Driving License is enclosed.

    I/We have reported the lost to the Police Station .(date).




    Date. Signature/Thumb impression
    of applicant along with
    full address.



    Specimen Signature of the Holder of Driving License.

    1.

    2.

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