Affidavit for Getting Duplicate Driving License


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.


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 Id

Enter Email Id

Phone Number

Enter Phone Number

Address Line 1 (Flat no, Wing, Buiding name)

Enter Address

Address Line 2 (Area, Road, Sector, Location)

Enter Address

City

Enter City

Pin

Enter Pin

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

Issue Date

Select Issue Date

Type of Vehicle *

Select Vehicle Type

Reason for Reissue *

Choose atleast one reason

Driving License is Misplaced

Driving License is Destroyed

Other

Enter other reason

Misplaced/Destroyed/Other Date *

Select Misplaced/Destroyed/Other Date

I have Complaint/FIR Details (Optional)