DL Services Acknowledgement

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Application Reference Slip

: BHAGIRATH
Application No : 4503012924 Name
CHOUDHARY
Application Date of
: 05-12-2024 : 05-05-1969
Date Birth
Father's : LT. SHIVAKANT
Blood Group : A+
Name CHOUDHARY
Applicant
: Male DL NUmber : CG04 19980075292
Gender
DL COVs : MCWG NT Validity : 04-05-2009 to 03-05-2019

Services Requested Documentary Proof Required


1. RE-VALIDATION OF EXPIRED DL ( • Medical Certificate-Form1A
MCWG ) • Driving Licence

Application Number is generated for the above mentioned services. The application
number is: 4503012924 .
An SMS has been sent to your registered mobile Number : ******9786 .
Note 1: Applicant should take print out of the Application Form (pre filled) and duly
signed with all required Documents to the concerned RTO / RLA office.
2: The online facility of application submission, upload documents, payment of
fees, slot booking etc., does not complete the process of issue of Driving Licence or any
other Service requested. The applicant has to compulsorily visit the concerned Road
Transport Office to finish the process of issue of Driving Licence and/or any other
associated services.
3: Applicants are requested to note that after completion of all stages mentioned
under `Applicant Stages’, the applicant has to visit the concerned Road Transport Office
on the scheduled date of appointment, along with the necessary documents to complete
the remaining process (or) In cases where online slot booking facility is not available for
any particular RTO, the applicant has to go to the concerned Road Transport Office at the
earliest along with the necessary documents, to complete the remaining process.

For any reference visit: https://sarathi.parivahan.gov.in/sarathiservice

Applicant Address : RTO Location :

BEHIND SAI MANDIR SHIVDEV NIWAS RTO,RAIPUR


RAIPURA, RAIPUR C.G. RAWABHADHA,BILASPUR ROAD /
RAIPUR CITY CENTER PANDRI
Pincode : 492013 RAIPUR,C.G.
Phone: 0771-2563155

Application Form (pre filled)


Print Form1
Print Form1-A
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