BACKLOG APPLICATION FORM
FROM, Date: __________________
_________________________________________
_________________________________________
TO,
THE R T O,
BANGALORE CENTRAL,
SUB: APPLICATION REQUESTING FOR BACKLOGGING OF OLD DRIVING LICENCE PARTICULARS.
With reference to the above mentioned subject, I would like to bring few words to your kind consideration.
I am writing this application requesting your good self For Backlogging the data Of Old Driving Licence Particulars,
NAME: ____________________________________________S/O: _______________________________________
DOB: ___________________ DL NO: _________________________________ COVs: ________________________
ISSUED BY RTO: ________________________________________________________________________________
VALIDITY FROM (N.T) _____________________ TILL ____________________. If (T.R) ________________________
ADDRESS: _____________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
PURPOSE: D.L RENEWAL / CHANGE OF ADDRESS / DUPLICATE D.L / SMART CARD.
Hence I kindly request your good self to do the needful and oblige.
Thanking You,
Yours sincerely,