Professional Documents
Culture Documents
Form2 PDF
Form2 PDF
Form2 PDF
To
The Licensing Authority,
.
Space for
. Space forsize
passport
passport
size photograph
photograph
I hereby apply for a licence authorising me to drive as a learner, the following motor vehicle(s):-
(a) Motor cycle without gear
(b) Motor cycle with gear
(c) Invalid carriage
(d) Light Motor vehicle
(e) Transport vehicle
(f) Road roller
(g) Motor vehicle of a specified description,namely.
(h) E-Rickshaw
(i) E-Carts
PARTICULARS TO BE FURNISHED BY APPLICANT
1. Full Name :
2. Son/wife/daughter of :
3. Permanent address : .
(Electoral Roll / Life Insurance Policy / Passport /
Pay slip issued by any office of the Central .
Government/ State Government or a local body / Any .
other document or documents as may be prescribed
by the State Government / Affidavit sworn before an .
Executive Magistrate or a First Class Judicial
Magistrate or a Notary Public to be enclosed)
4. Temporary address/ Official address, if any :
.
.
5. Duration of stay at the present address : .
6. Date of birth : .
(Birth certificate / School certificate / Affidavit
sworn before an Executive Magistrate or a First
Class Judicial Magistrate or a Notary Public to be
enclosed)
7. Place of birth : .
8. If place of birth outside India, when migrated to : .
India
9. Educational Qualification : .
10. Identification mark(s) : 1
2
11. ***
Applicant
1.
2.
Declaration under sub-section (2) of section 7 of the Motor Vehicles Act, 1988
Shri/Smt/Kumari.. .. Son / daughter of
. who is a minor is under my care and I accept responsibility for
his/her driving. If at a later date I decide not to accept responsibility for his/her driving I shall intimate the licensing
authority in writing for the cancellation of the licence. I give my consent for his/her obtaining learners licence.
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).