To I hereby apply for licence authorizing me to drive as a learner the following Vehicles. a. Motor cycle without gear. b. Motor cycle with gear. c. Invalid Carriage d. Light Motor Vehicle e. Medium goods Vehicle f. Medium Passenger Motor Vehicle g. Heavy good Vehicle Full Name of the Applicant 2. Permanent Address 3. Proof to be Enclosed 4. Temporary Address (If any) 5. Official Address(If any) 6. Date of Birth proof of age to be enclosed Affix a passport size photocopies of yours. (Space for Photograph of the Size Five Centimeter by Six Centimeter) The Licensing AuthorityApplication Form for The Grant of Learners LicenseFORM -2JHARKHAND GOVERNMENTTRANSPORT DEPARTMENTParticulars to be Furnished by Applicant h Heavy Passenger Motor VehiclePublished on National Portal of India (india.gov.in) 1. sondaughterwifeof previously held of applicant in-respect of the description of vehicle to which the 14. I enclosed 3 copies of my recent photograph (Photograph to be of the size of five centimeter by six centimeter) 15. I enclosed medical Fitness Certificate Dated issue by Doctor 16. I have submitted along with my earlier application for learner's Licence 17. I enclosed the written consent of parents guardian in the case of applicant being minor.20. I am exempted from the medical test under rule 6 of the central motor vehicle Rule 1989. Date: Signature of Applicant Duplicate Signature of Applicant 12. Particulars of any learner's Licence8. Identification Marks 9. Blood Group and R.H factor 10. I hold on effective driving licence to drive a Motor Cycle Light Motor Vehicle / MediumPassenger Motor Vehicle/ Medium Good Vehicle with effect from 11. Particular of any driving license previously, hereby applicant whether It was cancelled and if so, for what reason applicant has applied18. I enclose driving certificate date issued by19. I have paid the required fees for the license Published on National Portal of India (india.gov.in) 13. Have you been disqualified for holding or obtaining driving licence of earner licence,if so for what reason Yes No No7. Educational Qualification with percentage of marks Strike out whichever is Applicable Signature of Licensing Authority of Person authorised in the behalf Who is minor is under my carry and accept responsibility for/ her driving if at a letter date I decide not to accept responsibility Licence . I drive my consent for her obtaining learner's licence. FROM Declaration under sub section (2) of section 7 of the motor vehicle act 1989. Signature (To be signed in the presence of the Licensing Authority or person authorised in this behalf by the Licensing Authority. ) Sri /Kumari NameFull Address of the parent guardian relationship : Published on National Portal of India (india.gov.in) The applicant is exempted from the Medical test under Rule (6) and Preliminary test under Rule (2) of the central Motor Vehicle Rules 1989 learner's may be issued. The applicant was tested with reference to rule 11(1) of the Central Motor Vehicle Rule 1989. FOR OFFICE USE He has passed the learner's licence may be issued. He has passed the test (Reason should be specific) .Learner's Licence may be referre sondaughterof
