CHANDIGARH ADMINISTRATION REQUEST FORM FOR DRIVING HISTORY RECORD NameContact AddressContact Phone NumberE-mailDate of BirthPurpose for which the driving record is soughtPeriod for which the driving record is soughtParticulars of the Indian driving licence(s) held during this periodLicence NumberIssuing AuthorityPeriod of ValiditResidential Address during this periodParticulars of vehicles driven by you during this periodType of VehicleRegistration NumberDateSignature Return To: The Office of the Superintendent of Police, (Traffic) U.T. Police Headquarters, Sector 9-D Chandigarh. 160009
