The applicant is requesting a duplicate driving license from the licensing authority. They report that their original license was lost, destroyed, torn, defaced or mutilated. They provide details of their original license such as the license number, class of vehicle it was issued for, name, issuing authority and expiration date. The applicant declares their license has not been impounded and lists any court endorsements since the original issue or renewal of their license.
The applicant is requesting a duplicate driving license from the licensing authority. They report that their original license was lost, destroyed, torn, defaced or mutilated. They provide details of their original license such as the license number, class of vehicle it was issued for, name, issuing authority and expiration date. The applicant declares their license has not been impounded and lists any court endorsements since the original issue or renewal of their license.
The applicant is requesting a duplicate driving license from the licensing authority. They report that their original license was lost, destroyed, torn, defaced or mutilated. They provide details of their original license such as the license number, class of vehicle it was issued for, name, issuing authority and expiration date. The applicant declares their license has not been impounded and lists any court endorsements since the original issue or renewal of their license.
The applicant is requesting a duplicate driving license from the licensing authority. They report that their original license was lost, destroyed, torn, defaced or mutilated. They provide details of their original license such as the license number, class of vehicle it was issued for, name, issuing authority and expiration date. The applicant declares their license has not been impounded and lists any court endorsements since the original issue or renewal of their license.
Application for a duplicate driving licence To, The Licencing Authority, Full Name ……………………… Address of the …………………. applicant ………………………..
1. I hereby report that the driving licence held by me is lost/destroyed/torn/defaced/mutilated in
the following circumstance …………… 2. I hereby apply for a duplicate driving licence and tender the fee prescribed in rule 6. 3. The particulars of such driving licence held by me is as follows :- Driving licence no…………….. issued for …………… (here enter the class of motor vehicles) in the name of …………… by the licencing authority …………….. on ……………….. and expiring on ……………... 4. I hereby declare that my driving licence is not impounded by any authority and that there have been no/following endorsement by the court since the date of grant/renewal. Signature of the applicant. Date : Place : Specimen signature of the applicant 1. 2. *Strike out whichever is either required or not applicable.