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Application Form (Pre Filled)

The document is an application reference slip for Mintu Dutta's driving license application (No: 2154163425) submitted on 03-06-2025. It outlines the applicant's personal details, requested services, and the necessary steps to complete the application process at the Regional Transport Office. Additionally, it provides contact information for the relevant RTO and a link for further reference.

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13 views1 page

Application Form (Pre Filled)

The document is an application reference slip for Mintu Dutta's driving license application (No: 2154163425) submitted on 03-06-2025. It outlines the applicant's personal details, requested services, and the necessary steps to complete the application process at the Regional Transport Office. Additionally, it provides contact information for the relevant RTO and a link for further reference.

Uploaded by

bhupenderslp
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
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03/06/2025, 11:59 Application Number

Application Reference Slip


Application No : 2154163425 Name : MINTU DUTTA
Application Date of
: 03-06-2025 : 30-06-1986
Date Birth
: CHITRA RANJAN
Blood Group : B+ Father
DUTTA
Applicant
: Male DL NUmber : AS33 20210001193
Gender
: MCWG : 10-02-2021 to 09-02-
DL COVs NT Validity
,TRANS,LMV 2041
: 10-02-2022 to 09-02-
TR Validity
2025
Services Requested Documentary Proof Required
1. ISSUE OF NEW DL ( MCWG, LMV ) • Learner Licence/LLs together

Your application is accepted for processing and quote this Application Number 2154163425 for all
future reference .
An SMS has been sent to your registered mobile Number : ******2743 .
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 Regional 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 Regional 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 Regional Transport Office at the earliest along with the necessary documents, to complete the
remaining process.

For any reference visit: https://sarathi.parivahan.gov.in/sarathiservice

Applicant Address : RTO Location :

BAMGAON SILAPATHAR DTO,DHEMAJI


Sissibargaon,Dhemaji,AS DTO DHEMAJI
Pincode : 787059 WARD NO-3,NEAR TREASURY OFFICE
PinCode: 787057

Phone: 03253-224208

Application Form (pre filled)


Print Acknowledgement

https://sarathi.parivahan.gov.in/sarathiservice/applNoRedirect.do 1/1

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