Application for International Driving Permit
Surname In block letter  :
(State if Mr. / Miss) :
Father's Name :
other names(i.e., explain initials) :
Year and Date of Birth :
Town where born :
Full name and address in India  :
Full Details of Indian Licence held  
Issued by :
Valid till Date :
No. of Licence :
Class of Vehicle for which it is Valid :
Endorsement regarding conviction if any
State if previously examined for driving
the same class of vehicles of vehicles
Passport number :
Date of Issue :
Issued by :
Date of expiry :
  • Three passport size photos should be enclosed.
  • Challan in original for Rs. 10/- should be enclosed.
  • Signature in duplicate.
  • Civil Driving Licence
  • Passport
Place :
Date :
   Signature of the Applicant
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