1 FORM 9 Form of application for the renewal of driving license [See Rule 18(1)] I, Shri/Smt/Kumari . . . . . . . . . . . . hereby apply for the renewal of my driving license which is attached and particulars which are as follows: a) Number :- ........................................................................ b) Date of issue :- ........................................................................ c) Licensing Authority by whom license :- ........................................................................ was issued d) Licensing Authority by whom the :- ........................................................................ license was last renewed Number and date of renewal :- ........................................................................ 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 is not attached, reasons why it is not available? :- .................................................................... If the license was not renewed within thirty days of the date of expiry, full 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 My license has not been revoked.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. I declare to the best of my knowledge and belief that the particulars given above are true. Signature of thumb impression of applicant Date :- ................................................................ Name :- ....................................................................... Address :- ......................................................................................................................................................... .........................................................................................................................................................
