Page 522 - The Central Motor Vehicles Rules, 1989

494 THE CENTRAL MOTOR VEHICLES RULES, 1989 FORM 10

1
[xxx]
FORM 10
[Refer Rule 23(1)]
STATE REGISTER OF DRIVING LICENCES
1. (a) Driving licence number and date of initial issue ...........................
(b) Licensing authority which issued the licence ...........................
(c) (Name and designation of the officer who has taken
the driving test and the date of passing the test by
the holder of the licence ...........................
2. Name, address and other particulars of the holder of the ...........................
driving licence
(a) Name of the holder (with guardian’s name, if minor) ...........................
(b) Date of birth ...........................
(c) Educational qualifications ...........................
(d) Permanent address ...........................
(e) Temporary address/official address (if any) ...........................
(f) Subsequent changes of address ...........................
(g) Class and types of vehicles for which licence is given ...........................
(h) Addition of vehicles (if any) with dates ...........................
(i) Date of expiry of the licence and further renewal ...........................
(with details of licensing authority which renewed
the licence
(j) Details of disqualifications, fine, cancellation, etc., ...........................
in relation to the holder of the driving licence.

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