Application for International Driving Permit

• Surname In block letter
• (State if Mr. / Miss)
• Father's Name
• other names(i.e., explain initials)
• Year and Date of Birth
• Town where born
• Full name and address in India
• (In block letters)
• Full Details of Indian Licence held
• Issued by :
• Valid till Date :
• No. of Licence :
• Class of Vehicle for which it is Valid
• Endorsement regarding conviction if any
• (State if previously examined for driving the same class of vehicles of vehicles)
• Passport number
• Date of Issue :
• I ssued by :
• Date of expiry :

Requirement

• Three passport size photos should be enclosed.
• Challan in original for Rs. 10/- should be enclosed.
• Signature in duplicate.
• Civil Driving Licence
• Passport

of the Applicant Place:_____________________________                                       Signature

Date:______________________________