Driving License Document of BIHAR

Bihar Istate Gorment
Driving Licen Sekson
Tiraaphic Dipartment

DRIVING LICEN APPLIKASON PHAAROM
-----------------------------------------------------------------
NOTE: Pleej do not shoot 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 (_) Dont no (Check karet box)

2. First name:
(_) Lakhan (_) Sivprasad (_) Jamnaprasad (_) Laloo (_) Dont no (Check karet box)

3. Age:
(_) Less than phipty (_) Greater than phipty (_) Dont no (Check karet box)

4. Sex:
____ Male _____ Phimale_____ 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 of children that are yours: ___

9. Mather name: _______________________

10. Phather Name: ____________________ (If not noun,leave blank)

11. Ejjucason: Class- 1 2 3 4 (Circle highest grade completed)

12. Dental rekard/color: (_) Ellow (_) Berownish-ellow (_) Berown (_) Belack (_) Other color _______ pleej Give egjhakt color(Check karet box)

13.Your thumb imparesson :
____________________________

IMPORTANT INISTRUCTIONS:

1. If you are copying from another applikason pharom, pleej do not copy thumb impression also. Pleej provide your own thumb imparesson.

2. PLEEJ DO NOT USE PHINGERS OF YOUR LEGS

3. 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.

4. IF YOU DONT HAVE BOTH HANDS, YOU CANNOT DRIVE. WE ARE VARY ISTRICT ABOUT THIS.