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Format of Declaration for Physical Fitness for Driving License

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FORM 1 APPLICATION-CUM-DECLARATION AS TO PHYSICAL FITNESS 1.      Name of the Applicant:          ____________________________________ 2.      Son/Wife/Daughter of:           ____________________________________ 3.      Permanent Address:                ____________________________________ 4.      Official / Temporary               __________________ address (if any)   __________________ 5.   Date of Birth   –    Date ____ Month ____Year_____________ Age on date of application     __________________ 6.   Identification […]

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Declaration for Physical Fitness for Driving License Format

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APPLICATION-CUM-DECLARATION AS TO PHYSICAL FITNESS Name of the Applicant:__________________ __________________ Son/Wife/Daughter of:         __________________ __________________ Permanent Address:             __________________                                                                                                            __________________ Official / Temporary __________________ address (if any)                       __________________ Date of Birth Date ____ Month ____Year_____________ Age on date of application     __________________ Identification marks (1) __________________ (2) __________________ DECLARATION: (a) Do you suffer from epilepsy or […]

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