DATE: 30-11-2023 TIME: 12:31:21 PM

Language: English (https://cdac.in)

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TRANSPORT DEPARTMENT, GOVERNMENT OF KERALA

Application Reference Details

Application Reference Slip

Application No : 4514571223 Name : NISHA V

Application
: 30-11-2023 Date of Birth : 29-01-1966
Date
Husband's
Blood Group : O+ : DINESH C C
Name
Applicant
: Female DL NUmber : KL13 20180012141
Gender
: LMV : 07-12-2018 to 06-12-
DL COVs NT Validity
,MCWOG 2023

Services Requested Documentary Proof Required

• Eye-Test Certificate
1. Renewal of DL • Driving Licence
• Medical Certificate-Form1A

Application Number is generated for the above mentioned services. The application number is:
4514571223 .
An SMS has been sent to your registered mobile Number : ******6075 .
Note 1: The mentioned service(s) are Faceless / Contactless hence you are not required to
visit RTO / RLA Office for same. The acceptance of application is subject to successful
Scrutiny of uploaded data / documents in accordance with legal provision.
2: Application status can be tracked online, if application status is “Reverted” modify
documents accordingly.

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

 Applicant Address : RTO Location :

M C HOUSE RTO,KANNUR
EDACHERY VAYAL PODIKKUNDU CIVIL STATION
KANNUR KANNUR
Pincode : 670004 KANNUR
PinCode: 670102

Phone: 0497-2700566

Application Form (pre filled)

Print Form1
Print Form1-A
Print Acknowledgement

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