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FORM2

This document is an application form for the grant or renewal of a learner's license to drive various types of motor vehicles. It requires the applicant to provide personal details, proof of identity, medical fitness, and consent from a parent or guardian if the applicant is a minor. The form also includes sections for the licensing authority to record their decision regarding the application.

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10 views

FORM2

This document is an application form for the grant or renewal of a learner's license to drive various types of motor vehicles. It requires the applicant to provide personal details, proof of identity, medical fitness, and consent from a parent or guardian if the applicant is a minor. The form also includes sections for the licensing authority to record their decision regarding the application.

Uploaded by

sskrishna8384
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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FORM 2

{See Rule 10}

Form of Application for the Grant Or Renewal of Learner's License

To
The Licensing Authority

I hereby apply for a license authorising me to drive as a learner, the following


motor vehicle(s) :
(a) Motor Cycle without gear, (f) Medium Passenger Motor Vehicle,
(b) Motor Cycle with gear, (g) Heavy Goods Vehicle,
(c) Invalid Carriage, (h) Heavy Passenger Motor Vehicle,
(d) Light Motor Vehicle, (i) Road Roller,
(e) Medium Goods Vehicle, (j) Motor Vehicle of the following
Description ---

Particulars to be furnished by Applicant

1. Full 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 of age to be enclosed)

6. Educational Qualification

7. Identification mark(s) 1.
2.

8. Blood Group with R H factor (Optional)

9. I hold an effective driving license to drive


Motor Cycle / Light Motor Vehicle /
Medium Passenger Motor Vehicle /
Medium Goods Vehicle with effect from

10. Particulars of any driving license previously held by


applicant. Whether it was cancelled and if so,
for what reason ?
11. Particulars of any learner's license previously held
by applicant in respect of the description of vehicle
to which the applicant has applied.

12. Have you been disqualified for holding or obtaining


driving license or learner's license ? if so, for what
reasons ?

13. I enclose 3 copies of my recent photograph (Passport size photograph)

14. I enclose Medical Fitness Certificate, dated issued by (doctor)

15. I have submitted alongwith my earlier application for Learner's License*/ I


enclose, the written consent of parent / guardian (in the case of applicant being a
minor)

16. I enclose Driving Certificate, dated issued by


(Name and address of the Driving School)

17. I have paid the fee of Rs.

*18. I am exempted from the Medical Test under rule 6 of Central Motor Vehicles
Rules, 1989.

*19. I am exempted from the preliminary test under Rule 11 (2) of


Central Motor Vehicles Rules, 1989.

____________________
• Strike out whichever is inapplicable

Date Signature or thumb impression of applicant.

Specimen signatures / thumb impressions


of the applicant 1. 2.
Declaration under sub-section (2) of section 7 of the Motor Vehicles Act, 1988

Shri / Kumari

son/daughter of who is a minor is under my care and I


accept responsibility for his/her driving. If at a later date I decide not to accept
responsibility for his/her driving I shall intimate the Licensing Authority in writing
for the cancellation of the license. I give my consent for his/her obtaining learner's
license.

Signature

Name and full address of the Parent/Guardian

Relationship

(To be signed in the presence of the Licensing Authority or person authorised in this
behalf by the Licensing Authority)

____________________________________________________________________

For Office use

• The applicant is exempted from the medical test under rule 6 and the preliminary
test under rule 11 (2) of the Central Motor Vehicles Rules, 1989. Learner's
License may be issued.

• The applicant was tested with reference to rule 11 (1) of the


Central Motor Vehicles Rules, 1989. He has passed the test. Learner's License
may be issued.

• He has failed in the test (Reasons should be specified). Learner's License may be
refused.

Signature of
the Licensing Authority or other person
authorised in this behalf.

______________________________
• Strike out whichever is inapplicable.

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