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DL Confirmation Application Form Amended2023

The document is an application form for driving licence confirmation that requires submission of various identification documents. It collects personal details from the applicant, including identification numbers, contact information, and driving licence details. The applicant must declare the accuracy of the information provided by signing the form.

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mayibongwenkambule
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29 views

DL Confirmation Application Form Amended2023

The document is an application form for driving licence confirmation that requires submission of various identification documents. It collects personal details from the applicant, including identification numbers, contact information, and driving licence details. The applicant must declare the accuracy of the information provided by signing the form.

Uploaded by

mayibongwenkambule
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CTC (RTMC) DL FORM

APPLICATION FOR DRIVING LICENCE CONFIRMATION

NOTE: This form must be submitted with copies of the Driving Licence, Identity Document, Traffic Register Number Certificate, and
a Permit or any Document used to apply for the Traffic Register Number Certificate.

PARTICULARS OF APPLICANT
Traffic
Type of Identification: Register No. RSA ID Foreign ID

(Mark with X)

Identification Number:

Nature of person: Male Female


(Mark with X)

Full Names:

Initials and Surname:

Telephone Number: -

Cell phone Number: -

Email Address:

Country of Destination:

DRIVING LICENCE CARD DETAILS


Driving Licence Number:

Valid Date: -

Code: A B C EC Other

First Issue Date: - -

DECLARATION
I, the applicant, declare that all the particulars furnished by me in this form are true and correct.

Signature: Place: Date:

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