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Application Form (Pre Filled) Print Acknowledgement

Shiv Das has applied for a new driver's license. His application number is 3498577621. He must take a print out of the pre-filled application form along with his learner's license, address proof, and visit the RTO office in Jangir Champa, Chhattisgarh to complete the application process. He has been notified by SMS to his registered mobile number.

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Shiv Das
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0% found this document useful (0 votes)
9K views1 page

Application Form (Pre Filled) Print Acknowledgement

Shiv Das has applied for a new driver's license. His application number is 3498577621. He must take a print out of the pre-filled application form along with his learner's license, address proof, and visit the RTO office in Jangir Champa, Chhattisgarh to complete the application process. He has been notified by SMS to his registered mobile number.

Uploaded by

Shiv Das
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Application Reference Slip: This page contains details of the application reference, including application number, applicant's name and details, service requested, and documentary proof requirements.

Application Reference Slip

Application No   :  3498577621   Name   :  SHIV DAS


Application Date   :  08-10-2021   Date of Birth   :  12-07-1995
Blood Group   :  Unknown   Father   :  BUDGA DAS
Applicant Gender   :  Male

Services Requested Documentary Proof Required


• Learner Licence/LLs together
1. ISSUE OF NEW DL ( ADPVEH )
• Address Proof (Present)

Your application is accepted for processing and quote this Application Number
3498577621 for all future reference .
An SMS has been sent to your registered mobile Number : ******3769 .
 Note 1: Applicant should take print out of the Application Form (pre filled) and duly
signed with all required Documents to the concerned RTO / RLA office.
          2:  The online facility of application submission, upload documents, payment of fees,
slot booking etc., does not complete the process of issue of Driving Licence or any other
Service requested. The applicant has to compulsorily visit the concerned Road Transport
Office to finish the process of issue of Driving Licence and/or any other associated services.
          3:  Applicants are requested to note that after completion of all stages mentioned
under `Applicant Stages’, the applicant has to visit the concerned Road Transport Office on
the scheduled date of appointment, along with the necessary documents to complete the
remaining process (or) In cases where online slot booking facility is not available for any
particular RTO, the applicant has to go to the concerned Road Transport Office at the
earliest along with the necessary documents, to complete the remaining process.

For any reference visit: [Link]

Applicant Address : RTO Location :

WARD 11 DTO,JANGIR_CHAMPA
Borsi, Borsi COLLECTORATE OFFICE,
Champa,Janjgir - Champ,CG            JANGIR_CHAMPA
Pincode : 495661 JANGIR-CHAMPA,C.G.
Phone:  07817-224055

Application Form (pre filled)


Print Acknowledgement

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