Apply Online For Re-Fresher Driver Training
Name :
*
Please Fill the Name as per Driving Licence.
Father's Name :
SH.
*
Please Fill the Father Name as per Driving Licence.
Gender :
Please Select The Gender
Male
Female
Others
*
Village/House No :
*
Tehsil :
*
District :
*
Contact Mobile Number1:
*
Contact Mobile Number2:
*
Correspondance Address :
Date Of Birth:(DD/MM/YYYY)
*
Height (Optional):
Blood Group (Optional):
Qualification:
*
Course Name (Driver/Conductor Renewal):
Please Select The Course Name
Driver Renewal
Conductor Renewal
*
Driving Licence Information :
DL Number:
*
DL Issue Date:
*
DL Valid Till Date:
*
DL Issuing Authority:
*
Aadhaar Card Number (Optional):
Licence Category i.e HMV/HTV/LTV etc:
*
Upload Passport Size Photo:
*
Upload Signature:
*
Upload Aadhar Card :
*
Upload Licence Image:
*
Type the above number:
*
All Are Mandatory
*
image and Digital Signature must be .jpg format and size below 100KB