Dec 18, 2004

bihar driving license

DRIVING LICENSE APPLIKASON PHOROM

> ------------------------------------------------------------------

>

>

>NOTE: Please do not Soot the person at the applikason kounter.

>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 libing 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 y our lepht hand only. If you dont have le pht 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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