Docstoc

loss or destruction of driving licence

Document Sample
loss or destruction of driving licence Powered By Docstoc
					                                                                                         Form L. L. D.


                            Intimation of loss or destruction of driving licence and
                                           application for duplicate
                                                                                           (See Rule 25)

To
The Licensing Authority,

.....................................

1............................................................ of (Permanent Address)...................................................................………….

........................................................................................................................................................................... ………

and(present address)...................................................................................................................................... …………

(Father’s Name) .............................................. hereby report that driving Licence No .................................. …………

issued by Licensing Authority ............................................................................................ …………...... on or about
the

day of .................................... in No .................................. and on ................................ ………............. for the period

up to .................................................. has been lost / destroyed (i) in the following circumstances:

           2.          I furnish below further details of the licence -

                       a) Class of vehicles for which the licence is valid

                     ................................................................................................... …….....................................................
                       b) The number and date of the Authorisation and the Licensing Authority which issued the
                               authorisation to drive as apaid employee (if so authorised)

                       ................................................................................................................................................... ….........
                       c) Whether authorised to drive transport vehicles if so, the date and authority

                       .................................................................................................................................................. …............
                       d) Serial number of Badge, if any, issued and by whom issued?

                       ............................................................................................................................................... …...............
                       e) Endorsement of punishments

                       ................................................................................................................................................ …..............

           3.          I hereby apply for a duplicate licence and tender Rupees........................................................ …............

           4.          I attach two clean copies of a recent photograph of myself (i)

           5.          I hereby declare that the above particulars are to the best of my knowledge correct.

                                                                                                                                            ............................... …............
           Date :                                                                                                                   Signature of applicant


Note : (i) Strike out alternative not required and items not applicable. If the column is not sufficient, particulars to
be furnished on a separate sheet to be appended.

				
DOCUMENT INFO
Shared By:
Stats:
views:54
posted:7/30/2012
language:English
pages:1
Description: Kerala Motor Vehicle Department Forms