FORM 9 [See Rule 18(1)] Form of Application for License to drive a Motor Vehicle I, Shri / Smt / Kumari _____________________________________________________________________ Son / Wife / Daughter of Sh ______________________________________________________________ the renewal of my driving license which is attached and particulars of which are as follows:- I apply for a license to enable me to drive vehicles of the following description (a) Number _____________________________________________ (b) Date of Issue _____________________________________________ (c) Licensing Authority by which the _____________________________________________ license was renewed (d) No. and date of renewal ______________________________________________ (e) Class of vehicles authorized to be driven ______________________________________________ (f) Date of vehicles authorized to be driven ______________________________________________ (g) i) Vehicles authorized to be driven ______________________________________________ ii) Transport vehicle ______________________________________________ My present address is ______________________________________________ ______________________________________________ If this address is not entered on the license, I do/do not wish that it should be so entered. If the license isn't attached, reasons why it is not available _______________________________________________________ Space for Photograph of the Size Five Centimeters by Six Centimeters If the license was not renewed within thirty days of the date of expiry reasons for delay ________________ _______________________________________________________________________________________ The renewal of license has not been refused by any licensing authority. I have not been disqualified for holding or obtaining a driving license. My license has not been revoked I enclose a Medical fitness certificate Form 1 I enclose three (3) copies of my recent photographs (5 Cms X 6 Cms) I have paid the fee of Rs. ______________________________________________________ I hereby declare that to the best of my knowledge and belief te particulars given above are true. Dated Signature or thumb impression of applicant Name ______________________________ Address_____________________________ ___________________________________
