_________________ _________ ________ . I, the above named deponent, solemnly affirm and state as under: 1. Tha Thatt I am the applica applicant nt in the applic applicati ation on for the issue issue of duplic duplicate ate dri driving ving licence and as such fully conversant with the facts deposed to below. 2. That I was issued issued driving licence licence no._____ no.________ ___ on ______ _________ ___ by your office office to drive
and
with gears.
3. That That my dr driv ivin ing g li lice cenc nce e no. no. ____ ______ ____ ____ ____ __ has has been been lost lost on or abou aboutt __________,, __________
for
which
I
have
lodged
FIR
with
Police
Station,
__________vide __________ vide FIR No. _________ _________ dated _ ____________ ____________. _. 4. That I have not deposit deposited ed the said driving driving license license with any Court Court or any other other public authority. 5. Tha Thatt my licence licence has not been been cancelled cancelled and no charge charge sheet has been filed filed against me for any offence under the Motor Vehicles Act or Rules made thereunder or any other law for the time being in force. 6. That I am otherwise otherwise qualified qualified to to hold the driving driving licence. 7. That if the original original licence licence will be be found, I undertak undertake e to deposit the the same with with your office. 8. Tha Thatt in view of the above, above, it is necessary necessary that that duplicat duplicate e driving driving licence licence be issued to me. DEPONENT
Signed at _____________ this ___day of ____, VERIFICATION
I, ________the above named deponent do hereby verify on oath that the contents of the affidavit above are true to my personal knowledge and nothing material has been concealed or falsely stated. Verified at _______this ______day ______day of______ DEPONENT
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