Bihar Driving License Application Form

DRIVING LICENSE APPLIKASON PHOROM NOTE: If you dot knows, please copy from another applikason phorom.Forphurthar instructions, see bottom applikason. Pleasedo not soot the person at the applikason kounter. He will give you the licen.

Last name:
(_) Yadav
(_) Sinha
(_) Pandey
(_) Misra
(_) Dot no
(Check karet box)

First name:
(_) Ramprasad
(_) Lakhan
(_) Sivprasad
(_) Jamnaprasad
(_) Dot no
(Check karet box)

Age:
(_) Less than phipty
(_) Greater than phipty
(_) Dot no
(Check karet box)

Sex:
____ M _____ (F) _____ not sure _____notapplicable

Chappal Size: ____ Lepht ____ Right

Occupason:
(_) Politison
(_) Doodhwala
(_) Pehelwaan
(_) House wife
(_) Un-employed
(Check karet box)

Number of children libing in the household: ___
Number that are yours: ___

Mother name: ____________ _________ __
Phather Name: ____________ ________ (If not no, leave blank)

Ejjucason: 1 2 3 4 (Circle highest class attended)

Dental rekard:
(_) Ellow
(_) Berownish-ellow
(_) Berown
(_) Belack
(_) Others - Give egjhakt color
(Check karet box)

Your thumb imparesson (If you are copying from another applikasonpharom,please do not copy thumb impression also.Please provide your own thumb impression.)

PELEASE DO NOT USE PHINGERS OF YOUR LEGS Use thumb on your lepht hand only. If you dont have lepht hand, use your thumb on right hand. If you donot have right hand, use thumb on lepht hand.

NOTE : IF YOU DONT HAVE BOTH HANDS, YOU CANNOT DRIVE.WE ARE VARY ISTRICT ABOUT THIS

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