LICENCE COMPUTER FORM THE CENTRAL MOTOR VEHICLES RULES 1989 FORM 4 (See Rules 4) Form of Application for Licence to drive a Motor Vehicle Licensing Authority .................... Particulars to be furnished by the Applicant only in Capital letters. Type of Vehicle........................................................... Commercial/Non Commercial................................................. Date of issue............................................................. Amount/Date Receipt No.................................................... Date of endorsement Fee/Date/Receipt No...................................................... Name of Training institute............................................... Learner's License........................................................ Trail Date No............................................................ Fee Receipt No........................................................... Old License No........................................................... Issuing Authority........................................................ Duplicate Date........................................................... Fee Receipt No........................................................... Signature of Applicant IMPORTANT INSTRUCTIONS 1. Photographs should not be pinned. 2. Polaroid photographs not allowed only actual Passport size photographs are accepted. 3. Signature should be straight, short and sweet (Minimized) Verified the above content I/c License Section Chairman Signature of Applicant........... Member Member Member