Application Reference Slip

Application No   :  1750433123   Name   :  BISWAJIT NAYAK

Application Date   :  15-05-2023   Date of Birth   :  03-05-1995
Blood Group   :  O+   Father Name   :  BINODBIHARI NAYAK
Applicant Gender   :  Male

Services Requested Documentary Proof Required

1. Issue of New LL Application ( LMV, MCWG )

Your application is submitted for processing and quote this Application Number: 1750433123 for all
future reference .
An SMS has been sent to your registered mobile Number : ******1397 .
Application submitted through eKYC.

 1. After online fillingup the application,please upload the documents, do fee payment and slot booking .
 2. Printed copy of the Acknowledgement silp is not required at the RTO office .You can show your
acknowledgement slip in electronic form.
 3. Kindly visit the RTO office/ Testing centre (wherever applicable) on the appointed date & time as booked
slot.
 4. At the time of visit to the RTO office / Testing centre please carry the documents in original as
mentioned under “Documentary proof required” column of this acknowledgement slip.
 5. There is no requirement of bringing printed copy of prefilled application form.

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

Applicant Address : RTO Location :

. RTO,JAJPUR
Madhuban Thana-Aul AT-SUNDARPUR
Madhuban Kendrapara Odisha POST- KAMAGARH
Pincode : 755061            JAJPUR
PinCode:  755043

Phone:  06728-00000

Application Form (pre filled)

Print Acknowledgement