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  • Form 9: The Licence Authority, Kolkata

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    Saswata Bagchi
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    This document is an application form for renewal of a driving license. It contains information such as the applicant's name (Antara Bagchi), license number, date of issue, class of vehicle authorized to be driven (motorcycle without gear), date of expiry, present address, reason for delay if renewal is after 30 days of expiry, declaration that the applicant has not been disqualified or had their license revoked, and confirmation that the required documents such as a medical fitness certificate and photos are enclosed with the application. The applicant signs and provides their name and address at the bottom.

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    This document is an application form for renewal of a driving license. It contains information such as the applicant's name (Antara Bagchi), license number, date of issue, class of vehicle authorized to be driven (motorcycle without gear), date of expiry, present address, reason for delay if renewal is after 30 days of expiry, declaration that the applicant has not been disqualified or had their license revoked, and confirmation that the required documents such as a medical fitness certificate and photos are enclosed with the application. The applicant signs and provides their name and address at the bottom.

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    © All Rights Reserved
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    32 views1 page

    Form 9: The Licence Authority, Kolkata

    Uploaded by

    Saswata Bagchi
    This document is an application form for renewal of a driving license. It contains information such as the applicant's name (Antara Bagchi), license number, date of issue, class of vehicle authorized to be driven (motorcycle without gear), date of expiry, present address, reason for delay if renewal is after 30 days of expiry, declaration that the applicant has not been disqualified or had their license revoked, and confirmation that the required documents such as a medical fitness certificate and photos are enclosed with the application. The applicant signs and provides their name and address at the bottom.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    http://localhost/CMS V.1/form_9.php?

    user_id=154

    Form 9

    FORM OF APPLICATION FOR THE RENEWAL OF DRIVING LICENCE


    [ See Rule 18( 1 ) ]
    To

    The Licence Authority , Kolkata ,

    P.V.D

    38, Beltala Road Kolkata - 700 020

    I Shri / Smt./ Kumari _______Antara Bagchi________________________Wife of

    ___Saswata bagchi___________hereby apply for the renewal of my driving licence which is

    attached and particulars of which are as follows :

    (a)Number ___________________656868__________________

    (b)Date of issue___________________2011-07-02__________________

    (c)Licencing authority by__________yutyh__________________

    which licence was issued

    (d)Licensing Authority by which__________________________________________________________________________

    the licence was last renewed____rtgrygh__________________

    number and date of renewal________________455658________0017-09-10__________________

    (e)Class of vehicles authorisied

    to be driven ____Motor Cycle without gear__________________

    (f)Date of expiry of licence

    to drive ____2015-08-04__________________

    (i)Transport vehicle

    (ii)Vehicle other than

    Transport Vehicle

    My Present address

    If this address is not entered on the licence I do/do not wish that it should be so entered

    If the licence is not atttached reason why it is not available ?____________________________________________

    If the licence was not renewed with in thirty days of the expiry,full reason for the delay_________________

    ____ssss______________________________________________________________________

    The renewal of licence has not been refused by any Licensing Authority.

    I have not been disqualified for holding or obtaining a driving licence My licence has not been revocked

    I enclosed a Medical Fitness Certificate in Form 1.

    I enclose three copies of my recent photographs(2.5 cm by 3.5 cm)

    I have paid the fee Rs.

    I hereby declare that to the best of my knowledge and belirf the paticulars given above are true

    Signatire or thumb Impression of applicant

    Name_________Antara
    Bagchi_________

    Address______1/2/4 Sri nath


    Chakarbokthy Lane________

    __________________________

    Date 01/04/2018

    1 of 1 4/1/2018, 2:11 PM

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