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 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)