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renewal of conductor’s Licence

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					                                                  Form R C L A.

                  Form of application for renewal of conductor’s Licence
                                                   (See rule 40)


          To
          The Licensing Authority ,

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

       I hereby apply for the renewal of my licence which is attached herewith and the particulars of
which are as follows

1. Name                                             :………………………………………………………….

2. Fathers Name                                     :……… ………………………………………………….

3. Present Address                                  :………………………………………………………….

4. Number and date of issue of the licence          :……………………………………………………….

5. Authority by whom the licence was issued         :………………………………………………………….

6. If the licence is not renewed within 30 days
   from the date of expiry of the licence,
   full reasons for delay                       :…………………………………………………………

7. I hereby declare that I am not disqualified for holding or obtaining a conductor’s licence and
   that I am not subject to any disease or disability likely to render me unfit to perform the duties
   of a conductor.

Place :

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

				
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Description: Kerala Motor Vehicle Department Forms