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Wednesday, 01 September 2010 05:30

Download Intimation of Loss or Destruction of Driving Licence and Application for Duplicate

Download forms for state: Tamil Nadu
Form Details
StateTamil Nadu
DepartmentTransport Department
TitleIntimation of Loss or Destruction of Driving Licence and Application for Duplicate
LanguageEnglish
Document Size8.5 KB
Text of the PDF document(for quick reference)
Form L. L. D. Intimation of loss or destruction of driving licence and application for duplicate (See Rule 25) To The Licensing Authority, ..................................... 1............................................................ of (Permanent Address)..................................................................... ........................................................................................................................................................................... and(present address)........................................................................................................................................ (Father's Name) .............................................. hereby report that driving Licence No .................................... issued by Licensing Authority .................................................................................................. on or about the day of .................................... in No .................................. and on ............................................. for the period up to .................................................. has been lost / destroyed (i) in the following circumstances: 2. I furnish below further details of the licence ­a) Class of vehicles for which the licence is valid ........................................................................................................................................................ b) The number and date of the Authorisation and the Licensing Authority which issued the authorisation to drive as apaid employee (if so authorised) ...................................................................................................................................................... c) Whether authorised to drive transport vehicles if so, the date and authority ..................................................................................................................................................... d) Serial number of Badge, if any, issued and by whom issued? ..................................................................................................................................................... e) Endorsement of punishments ..................................................................................................................................................... 3. I hereby apply for a duplicate licence and tender Rupees........................................................... 4. I attach two clean copies of a recent photograph of myself (i) 5. I hereby declare that the above particulars are to the best of my knowledge correct. .................................. Date : Signature of applicant Note : (i) Strike out alternative not required and items not applicable. If the column is not sufficient, particulars to be furnished on a separate sheet to be appended.
Last Updated on Friday, 17 December 2010 05:30
 

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