Attention All Drivers! Get your license immediately, here is the Application Form

DRIBHING LICENSE APPLIKASON PHOROM
-----------------------------------------------------------------
NOTE: Please do not soot the person at the applikason kounter.
He will give you the licen.

For instruksons, 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. How many your's : ___

9. Mather name: _______________________

10. Phather Name: ____________________ (dont 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 probhiide your own thumb
impression.)

PLEASE 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.

BHI ARE BHERY ISTRICT ABOUT THIS !!!!!!!!