AFFIDAVIT WITH THE APPLICATION TO REGIONAL TRANSPORT AUTHORITY FOR ISSUE OF DUPLICATE LICENCE
 
Before the Regional Transport Officer . ......
 
	Affidavit of A, aged about…………………….years, son of Shri…………………….resident of……………………......
 
I, A, aged about…………………….son of Shri…………………….resident of ……………………. take oath and state as follows:
 
1.	That I am the applicant in application for the issue of duplicate driving licence and as such fully conversant with the facts deposed to below.
2.	That I was issued driving licence No …………………….on …………………….by this 	authority, to drive light vehicle.
3.	That my driving licence No …………………….has been lost on or about …………………….for which I have lodged FIR with Police Station . 	.............vide F I R N o ..........................dated …………………….
4.	That I have not submitted the said licence with any court or anywhere or my licence has not been cancelled. My driving licence has not been seized by the police, regional transport authority or any other authority. I have not been convicted for any offence by any court.
5.	That no charge-sheet has been filed against me for any offence under the Motor Vehicles Act or Rules made there under or any other law in force.
6.	That I am not addicted to wine and I do not suffer from any of the diseases disqualifying me to hold the driving licence.
7.	That if the original licence will be found, I shall deposit the same with the Office of Regional Transport Officer.
8.	That in view of the above, it is necessary that a duplicate driving licence may be issued to me.
 
I, A, the above named deponent do hereby declare and verify that the contents of paras 1 to 7 are true to my knowledge and the contents of para 8 are my submissions to this authority and nothing has been concealed and no part of it is false. So help me God.
 
	Verified at…………………….	this…………………….day of…………………….20……………………. 
	Date…………………….							Deponent