Before the Regional Transport Officer, , .
Affidavit of , aged about years, , residing at: , , - .
I , aged about years, , residing at: , , , - take oath and state as follows,
That I am the applicant in the application for the issue of duplicate driving license and as such I am fully conversant with the facts deposed to below.
Verified at _________________________ on _________________________ That the contents in the above affidavit are true and correct to the best of my knowledge and belief. No part of this affidavit is wrong and nothing material has been concealed therefrom.
Solemnly affirmed at _________________________ on this ________ day of ________________
Full Name *Enter Full Name
Age *Enter Age
Gender *Select Gender
Guardian *Select Guardian
Guardian Name *Enter Full Name
Proof of Identity *Select ID Type
ID Number *Enter ID Number
Email IdEnter Email Id
Phone NumberEnter Phone Number
Address Line 1 (Flat no, Wing, Buiding name)Enter Address
Address Line 2 (Area, Road, Sector, Location)Enter Address
Driving License Authority District *Enter Driving License Authority District
Driving License Authority State *Enter Driving License Authority District
Driving License Number *Enter Driving License Number
Type of Vehicle
Reason for Reissue *Choose atleast one reason
Driving License is Misplaced
Driving License is Destroyed
Misplaced/Destroyed/Other Date *Select Misplaced/Destroyed/Other Date
I have Complaint/FIR Details (Optional)
Complaint/FIR NumberEnter Complaint/FIR Number
Complaint/FIR DateSelect Issue Date
Police Station NameEnter Full Name
Address Line 1Enter Address
Address Line 2Enter Address