DATE: 01-8-2018 01:03:32 PM

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ACKNOWLEDGEMENT

Application No  :  1814411018   Name  :  AMLAN MUKHERJEE

Application Date  :  01-08-2018   Date of Birth  :  21-06-1998
Blood Group  :  A+   Father Name  :  APURBA KUMAR MUKHERJEE
Applicant Gender  :  Male

Services Requested Documentary Proof Required

• Age Proof
• Form M.C.Con (Medical certificate)
• Address Proof
1. Issue of New LL Application ( MCWG )
• Qualification Proof
• Form1 (Self Declaration)
• Photo ID Proof

1814411018
Note: Applicant should take print out of the Application Form (pre filled) and duly signed with all required
Documents to be concerned RTO office.
Your application is submitted for processing and quote this Application Number: 1814411018 for all
future reference .
An SMS has been sent to your mobile ******3906 .

For any reference visit: https://parivahan.gov.in/sarathiservice

Applicant Address : RTO Location :

236/1/1 RTO,BARASAT
RAMKRISHNA ROADNEW BARRACKPUR O/O THE DISTRICT MAGISTRATE
NEAR NAYER PALLY CLUB MOTOR VEHICLES DEPARTMENT
Pincode : 700131           NORTH 24 PARGANAS,BARASAT
700124
dm-bar-wb@nic.in
033-25523882

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