Form L. Con. A. [See rule 28 (1)] Form of application for a Conductor's licence 1. Name .............................. 2. Name of father ........................... 3. Date of birth (Proof to be attached) ................. 4. Present address........................... 5. Permanent address........................ 6. Educational qualifications (proof attached).............. ................................. * the following convictions 7. I have __________________________ no convictions 8. I have not previously held a conductor's licence 9. I am not disqualified for holding a conductor's licence 10. I hereby declare that I am not less than 18 years of age and that the above statements are true. I attach two copies of recent photographs of myself. 11. I further declare that I ordinarily reside/carry on business at ...... .................................... 12. I hereby tender rupees .................by cash. Dated ..........20..... held a conductor's licence issue by ......... (Signature of applicant) Duplicate signature of applicant * Strike out whichever is not applicable. Proof of birth date to be out of the following documents : 1. School leaving certificate 2. Passport. 3. Secondary School Certificate. 4. Domicile certificate. Note: Please pay the cost of this form at concerned RTO Price: Rs. 5.00 Printed from www.goatransport.com
