Page 506 - The Central Motor Vehicles Rules, 1989

478 THE CENTRAL MOTOR VEHICLES RULES, 1989 FORM 4A

The holder of the licence has passed the medical test under rule 5 and the
preliminary test referred to in rule 11(1) of the Central Motor Vehicles Rules, 1989.
The holder of the licence is exempted from the medical test under rule 6 and from
preliminary test under rule 11(2) of the Central Motor Vehicles Rules, 1989.
This licence is valid from ............ to .............
Signature and designation of the licensing authority
* Strike out whichever is inapplicable.
Warning : The attention of the holder of this licence is drawn to rule 3 of the Central
Motor Vehicles Rules, 1989, which prohibits him from driving any motor vehicle unless
he has besides him a person duly licenced to drive the vehicle and in every case, the
vehicle carries “L” plates both in the front and in the rear of the vehicle.
1
[xxx]
2
[FORM 4A FORM 4A
[Refer rule 14(2)]
FORM OF APPLICATION FOR ISSUE OF INTERNATIONAL DRIVING PERMIT
TO DRIVE A MOTOR VEHICLE IN OTHER COUNTRIES
To
The Licensing Authority, Space for Passport size
............................................ photograph
...........................................
I apply for an International Driving Permit to enable me to drive vehicles of the
following categories:
CATEGORIES OF VEHICLES FOR WHICH THE PERMIT IS APPLIED FOR
(A) Motor Cycles Category L1 and Category L2;
(B) Motor vehicles, other than those in category (A) above, having a permissible
maximum mass/weight not exceeding 3,500 kg (7700 lb) and not more than eight seats
in addition to the driver’s seat in Category M1;
(C) Motor vehicles used for the carriage of goods and whose permissible maximum
mass/weight exceeds 3,500 kg (7700 lb);
(D) Motor vehicles used for the carriage of passengers and having more than eight
seats in addition to the driver’s seat;
(E) Combination of vehicles of which the driving vehicle is in a category or
categories for which the driver is licensed (B and/or C and/or D), but which are not
themselves in that category or categories.
PARTICULARS TO BE FURNISHED BY APPLICANT

1. Name .....................................................................
(Surname) (Middle Name) (First Name)
2. Father’s or Husband’s name ..........................................................................
3. Place of Birth and Country (proof to be ..........................................................................
enclosed)

1 Form 4 omitted vide GSR 243(E), dt. 20-3-2018, w.e.f. 1-4-2018.
2 Inserted vide GSR 720(E), dt. 10-9-2003, w.e.f. 10-10-2003.