"Form 6"
[See rule 16 (1)]
(To be printed in book form of the size six centimeters by eight centimeters)
FORM FOR DRIVING LICENCE
Name of the license holder…………………………………………………….
Son/wife/daughter of………………………………………………………….
Name to be written across the photograph (Part of the seal and signature of the licensing authority to be on the photograph and part on the driving licence).
Specimen Signature/thumb impression of the holder of the license.
Signature and designation of the Licensing
Authority.
Driving license number………………………………………………………
Date of issue………………………………………………………………….
Name…………………………………………………………………………
Son/wife/daughter of………………………………………………………….
Citizenship………………………………………………………………………
Temporary address/official address (if any)…………………………………….
Permanent address………………………………………………………………
Date of birth……………………………………………………………………..
Educational qualification………………………………………………………...
Optional
Blood group ………………………………………………………………….......
RH factor…………………………………………………….................................
The holder of this license is licensed to drive throughout India vehicles of the following description:-
Motor cycle without gear
Motor cycle with gear
Invalid carriage
Light motor vehicle
Transport vehicle
Road roller
Motor vehicle of a specified description, namely
The license to drive motor vehicle other than transport vehicle is valid
From……………………………..to……………………………………………..
The license to drive transport vehicles is valid from……………..to……………..
Name and designation of the authority who conducted the driving test.
Signature and designation of the Licensing Authority
Passport Size
Photograph
Authorisation to drive transport vehicle
Number…………………………………Date……………………Authorised to drive transport vehicle with effect
From……………Badge number……………..
Signature……………………………..
Designation of the licensing Authority.
Name and designation of the authority who conducted the driving test:
Space for addition of other classes of vehicles
Number………………..
Date…………………...
Also authorized to drive the following class or description of motor vehicles:
Name and designation of the authority who conducted the driving test
Signature and designation of the Licensing Authority
Date……………
Space for renewal of driving license
The license to drive motor vehicle other than transport vehicle is hereby renewed from………to………………
Signature of licensing Authority
The licence to drive transport vehicle is hereby renewed from………………….to…………………..
From……………………..to…………………….
Signature of Licensing Authority
From……………………..to…………………….
Signature of Licensing Authority
Space for endorsement by court
Date Section and
Rule
Fine or Other
Punishment
Signature of the
endorsing authority
1 2 3 4
Space for endorsement by licensing authority
Date
Proceeding
number and Date
Disqualification
Period
From To
Signature of
Licensing
Authority
1 2 3 4”