FORM L.CON. R [See rule 30(1)] Form of Application for renewal of a Conductor's Licence I hereby apply for a renewal of the Conductor's Licence No. ___________________________ due to expire Under the Goa Motor Vehicles Rules, 1991. Which is ______________ on _________________________ and was issued to me has expited on the ______________________ day of ______________________________ 20________ by the Licensing Authority __________________________________________________________ **** I hereby declare that I am not subject to any disease or disability that is likely to hamper me in the performance of my duties as a conductor of state carriage. Dated ____________ 20 _________ Signature of applicant Price : Rs. 5.00 Note:Please pay the cost of this form to the concerned RTO Printed from www.gatransport.com
