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Wednesday, 01 September 2010 05:30

Download Intimation of loss or destruction of licence and application for duplicate

Download forms for state: Delhi
Form Details
StateDelhi
DepartmentTransport Department
TitleIntimation of loss or destruction of licence and application for duplicate
LanguageEnglish
Document Size49.1 KB
Text of the PDF document(for quick reference)
FORM L.L.D. (Rule 2.3 of Delhi Motor Vehicle Rule, 1989) INTIMATION OF LOSS OR DESTRUCTION OF LICENCE AND APPLICATION FOR DUPLICATE To The Licensing Authority, ............. ............. I........................................... Son/Daughter/Wife of.................................... with my Permanent Address as.............................. Hereby report that my driving licence, the particulars of which are given below has been lost/ destroyed. 1. Licence No. ......................... 2. Name of Licensing Authority ......................... 3. Date of issue ......................... 4. Vehicle for which licenced ......................... 5. Valid upto ......................... 6. Endorsement, if any ......................... I solemnly declare that the licence has not been impounded by any authority and I will return the same to the Licensing Authority if at any stage licence is found. The duplicate licence fee has been vide receipt No.......... Signature or thumb impression of the applicant Date...... ............................................. (FOR OFFICE USE OF LICENSING AUTHORITY) 1. The particular as given above have been checked. 2. The adverse entries as per records are as under. ............................................. ............................................. ............................................. 3. Duplicate licence may be issued/refused on account of reasons given below. ............................................. ............................................. (Dealing clerk) (Licensing Authority)
Last Updated on Friday, 17 December 2010 05:30
 

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