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3 Driving Lincense Applicatiom Form

This document is an application form for a driving license in Pakistan. It requests information such as the applicant's name, address, date of birth, nationality, previous license details, and type of vehicle license being requested. The applicant must declare if they have any physical or medical conditions such as epilepsy, color blindness, hearing loss, or disabilities that could impact their ability to drive safely. They must also disclose any previous convictions or disqualifications from driving. If approved, the licensing authority will test the applicant's competency and physical ability to drive. They will then issue a license or provide remarks on the application.

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goshe17
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356 views2 pages

3 Driving Lincense Applicatiom Form

This document is an application form for a driving license in Pakistan. It requests information such as the applicant's name, address, date of birth, nationality, previous license details, and type of vehicle license being requested. The applicant must declare if they have any physical or medical conditions such as epilepsy, color blindness, hearing loss, or disabilities that could impact their ability to drive safely. They must also disclose any previous convictions or disqualifications from driving. If approved, the licensing authority will test the applicant's competency and physical ability to drive. They will then issue a license or provide remarks on the application.

Uploaded by

goshe17
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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(Section of the Motor Vehicle Act 1969)

APPLICATION FOR A DRIVING LICENSE


NEW LICENCE
DUPLICATE
RENEWAL
APPLICANTS DATA
Name of Applicant:
Fathers / Husbands:
Permanent Address:

_____________________________________________________________________________

________________________________________________________________________________________________
Present Address:

_____________________________________________________________________________

________________________________________________________________________________________________

Date of Birth: _________________ N.I.C. No.

Education: __________________________ Occupation: _______________________________________________


Previous License No:

_______________ Blood Group: ____________

Tel No: _________________________

Date of Issue: _____________________________________ Date of Expiry: _______________________________

FOR FOREIGNERS ONLY


Nationality: _______________________________________ Passport Number: _____________________________

License Required
As paid employee

1. Motor Cycle / Scooter


2. Motor Car
3. Auto Rickshaw
4. Motor Cab
5. Invalid Carriage

Otherwise than as a paid employee

1. Delivery Van
2. Light Transport Vehicle including / excluding PSV
3. Heavy Transport Vehicle / excluding PSV
4. Tractors
5. Road Roller

Please answer the following:


1.
2.
3.

Particulars and date of every conviction, which has been order to be endorsed on any license,
held by the applicant.
Have you ever been disqualified, for obtaining a License to drive? If so for what reason?
Have you been objected to a driving test as to your fitness or ability to drive a vehicle in respect of which a
license to drive as applied for? If so give date testing authorities and the result of.

Declaration of Physical Fitness of the Applicant:


a.
b.

Do you suffer from epilepsy or from sudden attacks of disabling giddiness or fainting?
Are you able to distinguish with each eye at a distance of 25 yards in good daylight?
(With glass if worn) a motor car number plate containing seven letters and figures?
c. Have lost either hand or foot or are you suffering from any defect in movement control
or muscular Power of either arm or leg?
d. Do you suffer from color blindness or night blindness?
e. Do you suffer from defect of hearing?
f. Do you suffer from any other disease or disability likely to cause your driving of a motor
vehicle to be source of danger to the public? If so give particulars
I declare that all the information provided above is correct to the best of my knowledge.
Note: An applicant whose answers YES to question (b) and (e) in declaration and NO to the other question
may claim to be subjected to a test as to his competency to drive vehicle of a specified type or types.

_______________________________________
Signature of Thumb impression of the Applicant
Issued License No: ________________________________
Date: ___________________________________________

Date: _____________________

For Office use only

Name and Rank of the Testing Authority ________________________________________________________________________


I have tested the applicant at the (time) __________________ on (Date) _________________ and find him ___________________
In the test as specified in 3rd schedule of the motor vehicle Act 1969
Checked _____________________
By

REMARKS:

_____________________

Signature

SIGNATURE OF TESTING AUTHORITY

Particulars given by the applicant have been verified and found to be correct

____________________________
License Issuing Authority

Space for Revenue Stamps


R.T.F. No. ____________________________
Date:

____________________________

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