Form 7
[See rule 16(2)]
FORM FOR DRIVING LICENCE (LAMINATED SMART CARD TYPE)
VISUAL INSPECTION ZONE
Driving Licence No……………………………
Date of issue…………………………………...
Valid till (non Transport)………………………Valid till (transport)………………………………………
Name……………………….(Surname)…………………(given name)…………………(middle name)
Son/Daughter/Wife of ………….(Surname)…………………(give name)…………………………………..
……………..(middle name)
Address (Current)………………………………………
Citizenship……………………………………………..
Date of Birth………………………(date)………………..(month)………………(year)
Authorisation to drive the following vehicles class throughout India:-
(i) Class of Vehicle…………………………………….
(ii) Issue date (dd-mm-yyyy)…………………………...
Badge Number………………………………………………..
Blood Group and RH factor of the driver…………………….
Specimen Signature/ Thumb impression of the Licence Holder…………………………..
Signature of the Issuing Authority………………………………………………..
Identification of Issuing Authority………………………………………………...
Note:- The provision for security features like the ghost image and/ or the hologram would be provided in the
Visual inspection zone of the licence by the concern State Government. Card Serial Number will be printed by
card manufacturer on the back side upper left corner of the card.
MACHINE READABLE ZONE
Theconcerned State Governments will provide the following features in the licence, in machine Readable Zone:- Chip Serial Number…………………………………………
Driving Licence Number……………………………………
Date of Issue………………………………………………...
Valid till (non Transport)………………………Valid till (transport)……………………
Name…………(Surname)……… (given name)…………………(middle name)………
Son/Daughter/Wife of ………….(Surname)……(give name)……………(middle name)
Citizenship……………………………………………..
Date of Birth (dd-mm-yyyy)………………………
Class of Vehicles…………………………………..
Respective date of issue……………………………
Short name of the Authority Conducted Driving Test for Respective Class of Vehicle as above………………..
Designation of the Authority Conducting Driving Test for Respective Class of Vehicle as above………………
Passport Size
Photograph
Identification of Issuing Authority……………………………………………………
Endorsement Details (Provision will be made to accommodate the detail of 10 Endorsement with following details)
Endorsement/Challan Number……………………………….
Endorsement/Challan Date…………………………………...
ID Code of Authority of Endorsement ………………………
Section/Rules/Proceeding No.(Provision for 10 Section/Rules)…………………….
Fine………………………………………………….
Disqualification Period from (dd-mm-yyyy)……………………..
Disqualification Period to (dd-mm-yyyy)………………………...
Settlement/ Review Date (dd-mm-yyyy)……………………….....
Settlement/ Review Authority ID…………………………………
Badge Details
Badge Number……………………………………………………
Valid Till…………………………………………………………
Authorisation Number…………………………………………….
Authorisation Date………………………………………………...”
[F.No. RT-11012/1/2006-MVL]
SAROJ KUMAR DASH, Jt. Secy.
Note: The principle rules were published in the Gazette of India vide notification number G.S.R. 590(E), dated the
2nd June, 1989 and last amended vide notification number G.S.R. 276(E), dated the 10th April, 2007.