Date post: | 16-Nov-2015 |
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Tel. No.:
E-Mail:
. 76, Veer Nariman Road, P.O. Box 11104, Churchgate, Mumbai - 400 020.Phone: 220;4 1085,2204 1271 . Fax: 2204 1382. Email: [email protected]
Visit us at www.wiaaindia.comApplication Form For INTERNAilONAL DRIVING PERMIT
[The Association may require the Applicant to pass a Test of Competance to DriveConducted by one of its Examiners on the type of vehicle for which the permit
is applied for (see below)l
Full Name of Applicant (Block Letters) Mr,/Mrs./MiSurname (to be underlined)
Membership No Valid uptq
Town where Born
Year Month and Date of Birth
Class of Vehicle for which Permit required *A.B (See below)
Passoort No. Place of lssue
lssuing Authority Date of Expiry
Approximate date of departure
Signature of Applicant Verified by
Requirements from the Applicant :
Four ldentical Passporl Size (3.5 cm x 3.5 cm)Coloured Photographs
Curent lndian Driving Licence Original + Xerox
Passport in Original+ Xerox
Fee and Service Charges Rs. 800/-
Current M/Ship Card
The address mentioned on the Passport and in the
Driving Licence should be the same of Mumbai
As the permit valid for only one year from the date ofissue, it is advisable to apply for it a week before one'sdeparture.
Date & Signature of Examiner:
Applicant's lndian Driving Licence Particulars
Name1)
2)
3)
4)
5)
6)
Licence No.
Date of lssue
lssuing Authority
Class of Vechicle
Date of Expiry
Remarks
( FOR OFFTCE USE ONLY )
l.D.P. No Date
.A Motor cycles with or without a side-car, invalid carriages and three wheeled vehicle with an unladen weight not exceeding400 kg. 900 lbs.
B Motor Vehicles used for the transport of passengers and comprising in addition to the driver's seat at most eight seatsor those used for the transport of goods and having a permissible maximum weight not exceeding 3,500 kg (7,700 lbs.)
rith a linhl lrailar