BIHAR SARAKAR DRIVING LICENSE APPLIKASON PHOROM
NOTE: If you dont knows, please copy from another applikason phorom.or ask
the mastar in driving iskool. For phurthar instructions, see bottom
applikason. Please do not soot the person at the applikason kounter. you
will get your the licen in the poolis istation after phiptin days.
-
Last name:
() Yadav
() Sinha
() Pandey
() Misra
(_) Dont no
(Check karet box) -
phast name:
() Ramprasad
() Lakhan
() Sivprasad
() Lalooprasad
(_) Dont no
(Check karet box) -
Age:
() Less than phipty
() Greater than phipty
(_) Dont no
(Check karet box)
Sex: ____ M _____ P(F) _____ not sure _____not applicable
Chappal Size: ____ Lepht ____ Right
- Occupason:
() Politison
() Doodhwala
() Pehelwaan
() pheriwala
(_) Un-employed
(Check karet box)
Number of children libing in the household: ___ Number that are yours:
___ Mother name: _______________________ Phather Name:
____________________ (If not no, leave blank)
Ejjucason: 1 2 3 4 (Circle highest grade completed with the name of
iskool)
Dental rekard:
() Ellow
() Berownish-ellow
() Berown
() Belack
(_) Other - Give egjhakt color
(Check karet box)
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 don’t have lepht hand, use your thumb on right hand. If you
do not have right hand, use thumb on lepht hand.
ATTENSON: IF YOU NO HAVE BOTH HANDS, YOU KANNOT DRIVE. WE ARE VARY ISTRICT ABOUT THIS.