FORM KMV-1A

FORM APPLICATION FOR THE ISSUE OF DUPLICATE OF LEARNERS

DRIVING LICENCE


To

The Licensing authority

.


I hereby apply for issue of duplicate of my learners driving licence no
issued by the licensing authority

.. on and expiring on
/ or about ..


I have remitted Rs. .. towards fees for the issue of duplicate
learners driver licence .



Signature or thumb impression of the Applicant


.


Duplicate Signature or thumb
impression of the Applicant.

1.


2.