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FORM L.L.D.
INTIMATION OF LOSS OR DESTRUCTION OF LICENCE &
APPLICATION FOR DUPLICATE DRIVING LICENCE
(Rule 15 of ANDHRA PRADESH MOTOR VEHICLES RULES, 1989)
To
The Licensing Authority,
_______________________.
I am authorised driving licence holder with Licence No.____________________________Isuued
by______________________

I, Shri/Smt./Kumari
hereby report that my driving licence has been lost/destroyed and apply for duplicate.
Son/Daughter/Wife/Guardial of
1. ADDRESS

PERMANENT

TEMPORARY

Door No.
Village/town/city
Mandal
District
Pincode

2. Circumstances of loss/Destruction of the licence ______________________________________

____________________________________________________________________________________________________
3. Paid fee of Rs._______________________(Fee should be paid at the counter)

Signature/Thumb im

file://\\Apportal-suresh\APTransport%20forms\formlld.htm

4/22/2002