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    Covenant DL

    Uploaded by

    atinuke adeshina

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Covenant DL

    Uploaded by

    atinuke adeshina
    13 views1 page

    Original Title

    covenant DL

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    13 views1 page

    Covenant DL

    Uploaded by

    atinuke adeshina

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Application Details ML 18N

    Application Id 31102024317136 Application Date (dd/mm/yyyy) 31/10/2024


    Application Type New DL Application Validity Period 5-Years
    Class of Licence Applied for D Do you want to recapture? Yes
    You are expected to visit your
    selected DLC to complete your
    application.
    Personal Details
    Applicant's Name Covenant Akinwunmi Akisanmi Mother's Maiden Name Bola
    Gender Male Height (In Meters) 1.72
    Date of Birth (dd/mm/yyyy) 02/06/2004 Blood Group O+
    Tax Identification Number NA State of Origin Ogun
    (TIN)
    LGA of Origin Abeokuta South Nationality Nigeria
    Facial Mark No Do you require glasses for No
    driving?
    NIN Number 13068646702 Any Form of Disability No
    Contact Details
    Mobile Number 07072402909 Next of Kin Phone Number 08023199788
    Email Address NA
    Residential Address
    Address Line1 1, ADE FARM ESTATE Address Line2 NA
    City Alakuko State Lagos
    Local Government Area (LGA) Alimosho Postal Code NA
    Mailing Address
    Address Line1 1, ADE FARM ESTATE Address Line2 NA
    City Alakuko State Lagos
    Local Government Area (LGA) Alimosho Postal Code NA
    Payment Details
    Payment Status Payment Confirmed Validation Number 2478383977816
    Payment Gateway Payfixy (Card) Payment Date (dd/mm/yyyy) 03/11/2024
    Driving Training Details
    Driving School Attended LEGACY ANGEL DRIVING SCHOOL Certificate Number GCDE/OG/DS3868/24/4347290
    Learner's Permit Number 086828 Date Learner's Permit was 11/06/2024
    issued
    Expiration Date 11/10/2024 Have you ever been No
    disqualified from driving?
    Processing Details
    State Ogun Local Government Area (LGA) Ifo
    Capture Center Ifo

    I declare that the information provided in this document is true and binding on me. I will notify the appropriate authorities of any changes therein.
    ____________________________
    Applicant Signature / Date

    For Official Use only: Processing State Board of Internal Revenue Officer's Details
    Have you checked payment status? (Fill in 'Yes' or 'No' ): __________
    I hereby declare that the applicant has made payment for this transaction and affirm here that this information is true to the best of my knowledge.
    _____________________________________________________________________________ ___________________________________________________________
    State BIR Officer's Name Signature / Date

    For Official Use only: Road Traffic Officer's Details


    Vision Test Result: ______________________________________________ Date of Test: ______________________________________________
    Does applicant require glasses to drive? (Fill in 'Yes' or 'No')
    Have you checked all the details given by the applicant? (Fill in 'Yes' or 'No') _______________
    Do you recommend issuing licence? (Fill in 'Yes' or 'No') ____________________________ If yes, indicate Class(es):_______________________________
    Ref: No Road Traffic Officer ___________________________________________________________________________
    I hereby declare and affirm that all the information stated on this form are true to the best of my knowledge.
    ______________________________________________________________________ ________________________________________________________________________
    Test Officer's Name Authorizing Officer's Name
    ______________________________________________________________________ ________________________________________________________________________
    Signature / Date Signature / Date

    [Application is valid for 12 months from the date of payment.]

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