BIHAR DRIVING LICENSE APPLIKASON PHOROM
NOTE: If you dot knows, please copy from another applikason phorom. For
phurthar instrucsons, see bottom applikason.
Please do not soot the person at the applikason kounter. He will give you
the licen.
Last name:
(_) Yadav
(_) Sinha
(_) Pandey
(_) Misra
(_) Dot no
(Check karet box)
First name:
(_) Ramprasad
(_) Lakhan
(_) Sivprasad
(_) Jamnaprasad
(_) Dot no
(Check karet box)
Age:
(_) Less than phipty
(_) Greater than phipty
(_) Dot no
(Check karet box)
Sex: ____ M _____ P(F) _____ not sure _____not applicable
Chappal Size: ____ Lepht ____ Right
Occupason:
(_) Politison
(_) Doodhwala
(_) Pehelwaan
(_) House wife
(_) Un-employed
(Check karet box)
Number of children libing in the household: ___
Number that are yours: ___
Mother name: _______________________
Phather Name: ____________________ (If not no, leave blank)
Ejjucason: 1 2 3 4 (Circle highest grade completed)
Dental rekard:
(_) Ellow
(_) Berownish-ellow
(_) Berown
(_) Belack
(_) Other - Give egjhakt color
(Check karet box)
Your thumb imparesson(If you are copying from another applikason pharom,
please do not copy thumb imparesson also. Please provide your own thumb
imparesson.)
PELEASE DO NOT USE PHINGERS OF YOUR LEGS
Use thumb on your lepht hand only. If you don't have lepht hand, use your
thumb on right hand. If you do not have right hand, use thumb on lepht
hand.
NOTE : IF YOU DONT HAVE BOTH HANDS, YOU CANNOT DRIVE. WE ARE VARY ISTRICT ABOUT THIS
