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Form Seven

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manojkuroutbulu
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121 views1 page

Form Seven

Uploaded by

manojkuroutbulu
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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DL No.

OD03 20150092825
INDIAN UNION DRIVING LICENCE OD
ADPVEH No.(Regn.Numbers) :
ISSUED BY ODISHA
OD03 20150092825 Hazardous validity Hill Validity

Date Of First Issue 10-08-2015

Form 7 Rule 16(2)


Issue Date Validity ( NT ) Validity ( TR )
10-08-2015 14-05-2034
Class of Date of Vehicle Badge Badge Badge
Vehicle Code Issued by issued date Issued By
Issue Category Number

LMV OD03 10-08-2015


Name : MANOJ KUMAR ROUT Holder's Signature

Date Of Birth : 23-05-1974 Blood Group : A+ Organ Donor :No


Son/Daughter/Wife of : JUGAL CHARAN RAUT
Present Address
FLAT NO-208 CITY PRIDE APARTMENT BLOCK B FARM ROAD, Emergency Contact Number
SAMBALPUR, Licencing Authority
SAMBALPUR (M),SAMBALPUR,768002 RTO,SAMBALPUR

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