Home>>Select the State>>Select department within Tripura>>Select forms to download>>This Page
Follow us on: FacebookTwitter

Google +1 Button


E-mail
Share
Wednesday, 01 September 2010 05:30

Download Application Form for obtaining a Driving License

Download forms for state: Tripura
Form Details
StateTripura
DepartmentTransport Department
TitleApplication Form for obtaining a Driving License
LanguageEnglish
Document Size23.7 KB
Text of the PDF document(for quick reference)
Downloading rate at CICs at the cost of Rs.2 per page FORM - 4 (See rule 4) Form of Application for License to drive a Motor Vehicle To. The Licensing Authority ................... I apply for license to enable me to drive vehicle of the following Description: (a) Motor Cycle without Gear -- (b) Motor Cycle with Gear -- (c) Invalid Carriage -- (d) Light motor vehicle -- (e) Medium goods vehicle -- (f) Medium passengers motor Vehicle -- (g) Heavy Goods Vehicle -- (h) Heavy passengers motor vehicle -- (i) Road Roller -- (j) Motor vehicle of the following description -- Particulars to be furnished by the Applicant 1. Name ......................... 2. Son / Wife / Daughter of ......................... 3. Permanent Address ......................... (Proof to be enclosed) 4. Temporary address / ......................... Official address (if any) 5. Date of birth ......................... (Proof to be enclosed) 6. Educational Qualification ......................... Space for photograph of the size five centimeters by six centimetres 7. Identification Marks (1) ......................... (2) ......................... 8. Blood Group and R. H. factor. ......................... 9. Have you previously held ......................... driving license? If so, give, details. 10. Particulars and date of every ......................... conviction which has been ordered to be endorsed on any license held by the applicant. 11. Have you been disqualified for obtaining ..................... a license to drive? If so, for what reason? 12. Have you been subjected to driving test as ..................... to your fitness or ability to drive a vehicle in respect of which a license to drive is applied for? If so, give the following details. Date of test Testing Authority Result of Test 1. 2. 3. 4. 13. I enclose three copies of my recent photograph of the size five centimeters into six centimeters (where laminated card is used, no photograph are required). 14. I enclose the Learner's License No. .............. dated ....... issued by the Licensing Authority ......................... 15. I enclose the driving Certificate No. .............. dated ....... issues by ......................... 16. I have submitted alongwith my application for Learner's License the written consent of parent ' guardian. 17. I have submitted alongwith the application for Learner's License / I enclose the Medical Fitness Certificate. 18. I am exempted from the medical test under Rule 6 of the Central Motor Vehicle Rules, 1989. 19. I am exempted from preliminary test under Rule 11(2) of the Central Motor Vehicle Rules, 1989. 20. I have paid the fee of rupees. I hereby declare that to the best of my knowledge belief the particulars given above are true. Note :- Strike out whichever is inapplicable. Date :- Signature / Thumb impression of applicant Certificate of test of competence to drive The applicant has passed the test prescribed under Rule 15 of the Central Motor Vehicle Rules, 1989. The test was conducted on (here enter the registration mark and description of the vehicle) on (date) The applicant has failed in the test. (The details of the deficiency to be listed out) Date ............ Signature of Testing Authority Full name and designation Two specimen signature of applicant Strike out whichever is inapplicable. TGPA 14 10-2003 10,000 J. C. No. 10609
Last Updated on Friday, 17 December 2010 05:30
 

Add comment


Security code
Refresh

We don't keep copyrighted documents. Only free and public documents are allowed at this site

Copyright © 2014 Download Forms India. All Rights Reserved.