FORM L.CON. [See rule 28(2) ] Conductor's licence No____________________________________________ Shri ( Name in full ) ______________________________________________ Son of _________________________________________________________ Date of birth ___________________ Present address ____________________ _______________________________________________________Permanent address ________________________________________________________ Photograph Duplicate signature of applicant from Form L .Con.A Is licensed as a conductor and has been issued conductor's badge No.___________ Dated :__________ 20 _______ Signature of Licensing Authority This licence is valid from ____________________ to _________________________ The licence is hereby renewed upto the ______________________________________ _______ day of _________ 20__________ Licensing Authority __________________ _______ day of _________ 20 ___________ Licensing Authority __________________ _______ day of _________ 20 ___________ Licensing Authority __________________ _______ day of _________ 20 __________ Licensing Authority __________________ _______ day of _________ 20 ___________ Licensing Authority __________________ _______ day of _________ 20 ___________ Licensing Authority __________________ ENDORSEMENTS Date Particulars of Reasons for Signature of order of dis order of dis endorsing qualification qualification Authority in brief in brief 1.2. 3. 4. Price : Rs. 5-00. Please pay the cost of this form to the concerned RTO Printed from www.gatransport.com
