Drivin Licence Applikason Faram NOTE: Please do not Soot the person at the applikason konter He will give you the licen For phurthar instructions see bottom applikason 1 Last name: ( ) Yadav ( ) Sinha ( ) Pandey ( ) Misra ( ) Dot no (Check karet box) 2 First name: ( ) Ramprasad ( ) Lakhan ( ) Sivprasad ( ) Jamnaprasad ( ) Dot no (Check karet box) 3 Age: ( ) Less than phipty ( ) Greater than phipty ( ) Dot no (Check karet box) 4 Sex: M P(F) not sure not applicable 5 Chappal Size: Lepht Right 6 Occupason: ( ) Politison ( ) Doodhwala ( ) Pehelwaan ( ) House wife ( ) Un-employed (Check karet box) 7 Number of children libhing in the household: 8 Number that are yours: 9 Mather name: 10 Phather Name: (If not no leave blank) 11 Ejjucason: 1 2 3 4 (Circle highest grade completed) 12 Dental rekard: ( ) Ellow ( ) Berownish-ellow ( ) Berown ( ) Belack ( ) Other - Give egjhakt color (Check karet box) **13 Your thumb imparesson : (** If you are copying from another applikason pharom 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 do not 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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