Driving License Form
Driving License Form
Driving License Form
I hereby apply for a license authorising me to drive as a learner, the following motor vehicle (s):
1. Name ……………………………………………………………..
7. Identification Marks
2
(1) ……………………………………………………………..
(2) ……………………………………………………………..
3
[8. Optional
Blood group ……………………………………………………………..
RH factor]
15. I have submitted alongwith my earlier application for learner’s license / I enclose the written
consent of
parent / guardian (in the case of applicant being a minor).
18. I am exempted from the medical test under rule 6 of Central Motor Vehicle Rules, 1989.
19. I am exempted from the preliminary test under rule 11(2) of the Central Motor Vehicle Rules,
1989.
Signature
…………………………....................
Name and full address of the parent /
guardian …………….........................
Relationship
…………………………
(To be signed in the presence of the licensing authority or person authorized in this behalf by the
licensing authority).
For office use
* The applicant exempted from the medical test under rule 6 and the preliminary test under rule
11(2) of the Central Motor Vehicles Rules, 1989.
* The applicant was tested with reference to rule 11(1) of the Central Motor Vehicles Rules,
1989. He has passed the test. Learner’s license may be issued.