Affidavit with the application to regional transport authority for duplicate license

Before the Regional Transport Officer (RTO) At ..................................

Affidavit of A, aged about .................. years, s/o Mr. ............ r/o.......................

I, A, aged about............................s/o Mr......................r/o.................................. take oath and state as follows:

1. That I am the applicant in application for the issue of duplicate driving license and as such fully conversant with the facts deposed to below.

2. That I was issued driving license No...................... on ............. by this authority, to drive scooter with gears.

3. That my driving license No............... has been lost on or about..... for which I have lodged FIR with _______________Police Station vide FIR No........................... dated....................., Annexed herewith is the copy of the FIR as Exhibit "A".

4. That I have not deposited the said license with any court or anywhere or my license has not been cancelled. I have not been convicted of any offence by any court.

5. That no charge sheet has been filed against me for any offence under the Motor Vehicles Act or Rules made thereunder or any other law in force.

6. That I am not addicted to wine and I do not suffer from any of the diseases disqualifying me to hold the driving license.

7. That if the original license will be found, I shall deposit the same with the Office of...