AMTREX GANG

Bihar Driving License
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DRIVING LICEN APPLIKASON PHOROM
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NOTE: Please do not Soot the person at the applikason kounter.
He will give you the licen.
For phurthar instructions, see bhottom 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 (_) Dont no

(Check karet box)

4. Sex:____ Male_____ Phimale_____ not sure_____not applicable

5. Chappal Size:____ Lepht____ Right

6.Occupason:

(_) Politison (_) Doodhwala (_) Pehelwaan (_) Houze-wife (_) Un-employed

(Check karet box)

7. Number of children libing in the houzehold:__ _

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!!!