INTIMATION OF LOSS OR DESTRUCTION OF Licence &
APPLICATION FOR DUPLICATE DRIVING Licence
(Rule 15 of ANDHRA PRADESH MOTOR VEHICLES RULES, 1989)
| To |
| The Licensing Authority, |
| _______________________. |
| I am authorised driving Licence holder with Licence No.____________________________Isuued by______________________ |
| I, Shri/Smt./Kumari |  |
hereby report that my driving Licence has been lost/destroyed and apply for duplicate.
| Son/Daughter/Wife/Guardial of | |
| 1. ADDRESS | |
|
| Door No. |  |
|
| Village/town/city | |
|
| Mandal | |
|
| District | |
|
| Pincode | |
|
| 2. Circumstances of loss/Destruction of the Licence ______________________________________ ___________________________________________________________________________________________________________ |
| 3. Paid fee of Rs._______________________(Fee should be paid at the counter) |
| Signature/Thumb impression of applicant |