G.C.P. J.No 1435/98-99 - 2,25,000  loose.
GOVERNMENT OF ANDHRA PRADESH
TRANSPORT DEPARTMENT
FORM 2
(Sec Rule 10)
FORM OF APPLICATION FOR THE GRANT OF RENEWAL OF
LEARNER'S LICENCE
To,

The Licensing Authority,
___________________

___________________
 Space for Passport photograph
I hereby for a licence authorising me to drive as a learner, the following
motor vehicle (s) :

(a)  Motor cycle without gear
(b)  Motor cycle with gear
(c)  Invalid carriage
(d)  Light motor vehicle
(e)  Medium goods vehicle
(f)  Medium passenger motor vehicle
(g)  Heavy goods vehicle
(h)  Heavy passenger motor vehicle
(i)   Road roller
(j)  Motor vehicle of the following description
a)
b)
c)
d)
Particulars to be furnished by the Applicant
1.   Full Name
2.   Son/Wife/Daughter of
3.   Permanent address
      (Proof to be enclosed) 
4.   Temporary address:
       Official address (if any)
5.   Date of Birth
      (Proof of age to be enclosed)
6.   Educational Qualification (s)
7.   Identification mark (s)
 :  _______________________________  
:  _______________________________
:  _______________________________
:  _______________________________

:  _______________________________

:   _______________________________
:   ________________________________
:  1.______________________________
:  2.______________________________
     ________________________________
8. OPTIONAL
  Blood group______________________________RH _________________________________________
  hold an effective driving licence to drive

             a) Motor Cycle/light motor vehicle/medium passenger motor vehicle/medium goods
                 motor vehicle with effect from_______________________________________
10.  Particulars of any driving licence previously held by the applicant. Whether it was cancelled
        and if so, for what reason___________________________________________________
        ___________________________________________________________________________
        ___________________________________________________________________________
11. Particulars of any learner's licence previously held by the applicant in respect of the
      description of vehicle to which the applicant has applied.
12. Have you been disqualified for holding or obtaining a driving licence or learner's licence?
      If so, for what reasons________________________________________
      __________________________________________________________________________ 
      __________________________________________________________________________ 
      __________________________________________________________________________ 
13.  I enclosed 3 copies of my recent photographs (passport size photograph)
14.  I enclosed medical fitness certificate dated________________________ issued
       By  (doctor)__________________________________________
15.  I have submitted along my earlier application for learner's Licence/ I enclose / the
        Written consent of parent / guardian (in the applicant being a minor)
16.  I enclose driving  certificate dated___________________ issued by.
                                                   (Name and address of the driving school):
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
17.  I have paid the fee of Rs.______________________________ 
18.  I am exempted from the Medical Test under Rule 6 of Central Motor Vehicles Rules, 1989.
19.  I am exempted from the preliminary test under Rule 11(2) of Central Motor Vehicles Rules,  1989.
Date:_____________________ Signature or Thumb impression of the
applicants
Specimen Signature or Thumb impression
of the applicant
*Strike out whichever is inapplicable 1.

2.

3.
Declaration under sub-section  (2) of section 7 of
the Motor Vehicles Act, 1988
Shri/Smt/Kumari________________________________________________ son/Daughter of
_________________________________________________ who is a minor is under my care
and I accept responsibility for his/her driving . If at a later date I decide not to accept responsibility
for his/her driving I shall intimate the licensing authority in writing for the cancellation of the licence I
give my consent for his/her obtaining learner's licence.
                
Signature____________________
                  Name and full address of the
                  Parent/guardian (Relationship)
(To be signed in the presence of the Licensing Authority or person authorised in this behalf by the licensing Authority)
For Office use
*  The application is exempted from the medical test under Rule 6 and the preliminary test under 
    Rules 11 (2)  of  the Central Motor Vehicle Rules, 1989. Learner’s Licence may be issued.
*  The applicant was tested with reference to Rules 11 (1) of the Central Motor Vehicles Rules,  1989. 
    He has passed the test. Learner’s Licence may be issued.
*  He has failed in the test. (Reasons should be specified).
      Learner’s licence may be refused.

Signature of Licensing Authority or  
Other person authorized in this behalf

* Strike out whichever is inapplicable.

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