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Form 9 Form of Application For The Renewal of Driving (See Rule 18 (1) )

Pankaj Jain is applying for the renewal of his driving license. The details provided include his license number, date of issue, licensing authority, class of vehicles authorized, and date of expiration. His current address is also listed. He confirms that the renewal of his license has not been refused or revoked previously. Along with the application, he has provided three recent passport photos and paid the necessary fee. He declares that all information provided is true to the best of his knowledge.

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Raveena Sharma
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0% found this document useful (0 votes)
213 views2 pages

Form 9 Form of Application For The Renewal of Driving (See Rule 18 (1) )

Pankaj Jain is applying for the renewal of his driving license. The details provided include his license number, date of issue, licensing authority, class of vehicles authorized, and date of expiration. His current address is also listed. He confirms that the renewal of his license has not been refused or revoked previously. Along with the application, he has provided three recent passport photos and paid the necessary fee. He declares that all information provided is true to the best of his knowledge.

Uploaded by

Raveena Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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FORM 9 Appl No.

1725193520 Dt:14-07-2020
[See rule 18(1)]
FORM OF APPLICATION FOR THE RENEWAL OF DRIVING

I, Shri :: PANKAJ JAIN


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

Father's Name :: BASANTKUMAR JAIN


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

hereby apply for the renewal of my driving licence which is attached and particulars of which are as

a) Driving Licence Number :: MH05 20140025042


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

b) Date of issue :: 11-08-2014


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

c) Licensing Authority by which the licence :: DY.RTO,KALYAN


................................................
issued

d) Licensing Authority by which the licence :: DY.RTO,KALYAN


was last renewed, number and date of .................................................
renewal MH05 /PDL/0025042/2014 Dt: 01-09-2014
.................................................

e) Class of vehicles authorised to be driven :: MCWG , LMV

f) Date of expiry of licence to drive ::

(i) transport vehicle :: ................................................

(ii) vehicles other than transport :: 10-08-2019


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

My present address is :: B-1/1 SHREE MAHAVIR NAGAR CS. MANPADA RD., OPP
ASHIRWAD HOSPITAL DOMBIVALI (E), SAGAON
(N.V.),THANE, 421201

If this address is not entered on the :: B-1/1 SHREE MAHAVIR NAGAR CS. MANPADA RD.
licence I do/do not wish that it should be OPP ASHIRWAD HOSPITAL DOMBIVALI (E)
so entered. SAGAON (N.V.),THANE
421201

If the licence is not attached, reasons :: ................................................


why it is not available?
If the licence was not renewed within thirty :: ................................................
days of the days of the date of expiry,
reaons for delay

The renewal of licence has not been :: ................................................


refused by any Licensing Authority.

I have not been disqualified for holding or :: ................................................


obtaining a driving licence. My licence has
not been revoked.

I enclose three copies of my recent :: ................................................


passport size photographs.

I have paid the fee of Rs. :: ................................................


Challan No. / Receipt No. :: ................................................

I hereby declare that to the best of my knowledge and belief the particulars given above are true.

Date: 14-07-2020 Signature or thumb impression of the


PANKAJ JAIN
Name ………………………………….

Address Not Applicable

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