Ashadip PSC

AADHAAR NO *

APPLICANT NAME *

GUARDIAN NAME *

RELATION WITH GUARDIAN *

Father Mother Husband Other

DATE OF BIRTH *

GENDER *

Male Female Trans Gender

PLACE OF BIRTH *

QUALIFICATION *

Below 8th Pass 8th Pass 10th Pass or Equivalent 12th Pass or Equivalent Diploma in Any Discipline Graduate in Non Medical Sciences Graduate in Any Medical Sciences ITI / Certificate Course M. Phil. in Any Discipline Post Graduate Diploma in Any Discipline Post Graduate in Non Medical Sciences Post Graduate in Any Medical Sciences Not Specified / NA

BLOOD GROUP *

A+ A- A1+ A1- A1B+ A1B- A2- A2B+ A2B- AB+ AB- B+ B- B1+ B1- O+ O- Oh+ Oh- Unknown

E-MAIL ID

MOBILE NO *

EMERGENCY MOBILE NO *

IDENTIFICATION MARKS
(Scar on Head,Mole on Right Hand etc.)

Name *
Address *
Email *
Phone No *

STATE * (Present Address)
DISTRICT *
SUB-DISTRICT / BLOCK *
POLICE STATION *
AREA TYPE *	Village Town
VILLAGE / TOWN NAME *
HOUSE / DOOR / FLAT NO
STREET / LOCALITY
LOCATION / LANDMARK
PIN CODE *

I HAVE BEEN CONVICTED/DISQUALIFIED/MY LICENCE WAS CANCELLED/SUSPENDED/MY LICENCE WAS REVOKED ? *	Yes No
IS THE APPLICANT TRAINED FROM DRIVING SCHOOL ? *	Yes No
1. I AM WILLING TO DONATE MY ORGANS,INCASE OF ACCIDENTAL DEATH ? *	Yes No
2. I HARE BY DECLARE THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE PARTICULARS GIVEN ABOVE ARE TRUE. *	Yes

APPLICANT PHOTO *
APPLICANT SIGNATURE *
AGE PROFF * ANY ONE (Passport/ Birth Certificate/ Votar ID / PAN Card / Photo ID Issued by Central OR State GOVT. )
ADDRESS PROFF * ANY ONE ( LIC Policy Statement / Passport / Aadhaar Card / Bank Passboby GOVT. / Marriage Certificate/ / Votar ID / Photo ID Issued by Central OR State GOVT. )
PHOTO ID PROFF * Passport / Votar ID / PAN Card / Aadhaar /Photo ID Issued by Central OR State GOVT.

SPONSOR NAME	Yes No
IF SPONSOR PRESENT,PROVIDE USERNAME
SUBMIT *

GOVT.VARIOUS APPLICATION & REGISTRATION

Form - Application for Driving Licence (Learner`s)

Total Expenses : Rs 1736/-

:: Contact Person Details ::

APPLICANT STATE AND RTO OFFICE DETAIL

APPLICANT PERSONAL DETAILS

APPLICANT ADDRESS DETAILS

(Only Present Address is Printed on Driving Licence )

CLASS OF VEHICLES

DECLARATION

DOCUMENTS

(Allowed File Types JPG Format, Maximum File Size -300KB)

SPONSOR INFORMATION AND FINAL SUBMISSION

Our Team

Nisha Sarki

PRIYA BISWAKARMA

Gopal Bera

Mousumi Pal

Kiran Bala Dey

Rabina Kumari Sharma

ANINDITA ROY

Jharna Mallick

ARPITA CHAKRABORTY BANERJEE

DEBIKA SUBBA

Contact Info

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ASHADIP PSC

SELECT CLASS OF VEHICLES *
WANT TO ADD MORE CLASS OF VEHICLES (Plz Mention)