Space for Photograph
FORM-9
See Rule 18 (1)
Form of Application for the Renewal of Driving License
I, Shri/Smt/Kumari……………………………………………..
son/wife/daughter of………………….……………………………...
hereby apply for the renewal of my driving licence which is attached
and particulars of which are as follows :-
a) Number :…….……………………………………..
b) Date of issue : ….…..……………………………………
c) Licensing Authority by which the
license was issued : ………..………………………………….
d) Licensing Authority by which the
license was last renewed : ……………………………………………
Number and date of renewal :…………………………………………….
e) Class of vehicle authorized to be
driven : …………………………………………….
f) Date of expiry of license to drive :
(i) Transport vehicle : ….…………………………………………
(ii) Vehicle other than transport
vehicle : .……………………………………………
My present address is : ….…………………………………………
If this address is not entered on the licence I do/do not wish that it should be so
entered. If the licence is not attached , reason why it is not available?. …………………...
………………………………………………………………………………………………
…………………………………………………………………………………….………..
If the license was not renewed within thirty days of the expiry, reason 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 My license has not been revoked.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 Form 1.
I enclose three copies of my recent photographs ( 5 cms x 6 cms ).
I have paid the fee of Rs ………………………………….………………………………..
I hereby declare that to the best of my knowledge and belief the particulars given above
are true.
Date Signature or thumb impression of applicant
Name : …..……………………………………….
Address : ………………………………………….
………………………………………….
Please pay the cost of this form at concerned RTO PRICE : RS 5.00 Printed from www.goatransport.com