Form 9
[See Rule 18(1)]
FORM OF APPLICATION FOR THE RENEWAL OF DRIVING Licence


.
 
I, Sri / Smt / Kumari
Son/Wife/Daughter of

here by apply for the renewal of my driving Licence which is attached and particulars of which are as follows


a. D.L.Number
b. Date of Issue 
                    
c. Licensing Authority by Which the Licence was first issued
d. Licensing Authority by Which the Licence was last
renewed [No. and date of renewal]


e. Class of vehicle Motor cycle upto 50 cc Motor Cycle above 50 cc
Authorised to drive Light motor vechicle Transport vehicle
  Invalid carriage Road Roller
Any other Category 
(Specify the category in the box)
                         
 f. Date of expiry of the Licence to drive
  1. Transport Vehicles
  2. Non Transport Vehicles
g. ADDRESSPERMANENT TEMPORARY
Door No.
Village/Town/City
Mandal
District
Pincode

Have you attached the existing Licence Yes No If not, Reasons
If the Licence was not renewed within 30 days of the date of expiry, reasons for delay


Applicant's Declaration

The renewal my Licence has not been refused by any Licensing Authority nor I am disqualified for holding or obtaining a driving Licence nor my Licence has been revoked Yes No

I here by declare that to the best of my knowledge and belief the particulars given above are true.


Date:
 

Signature / Thumb impression of Applicant