AFFIDAVIT FOR ISSUE OF DUPLICATE DRIVING LICENCE
AFFIDAVIT
I, {{full_name}}, S/o / D/o / W/o {{father_s_husband_s_full_name}}, aged {{age}} years, residing at {{complete_residential_address}}, do hereby solemnly affirm and declare as follows:
1. That I am the holder of Driving Licence No. {{driving_licence_number}}, issued by the Licensing Authority, {{name_of_rto_arto}}.
2. That my original Driving Licence has been lost / misplaced / stolen / damaged on or about {{date_of_loss_damage}} at {{place_of_loss_damage}}.
3. That despite my best efforts, I have not been able to recover the original Driving Licence.
4. That the original Driving Licence has not been pledged, impounded, suspended, or cancelled by any Court, Police Authority, or Licensing Authority.
5. That if the original Driving Licence is found at any time in the future, I undertake to surrender it immediately to the concerned Licensing Authority.
6. That this affidavit is executed for the purpose of obtaining a Duplicate Driving Licence from the concerned Licensing Authority.
7. That the statements made herein are true and correct to the best of my knowledge and belief, and nothing material has been concealed therefrom.
Place: {{place}}
Date: {{date_in_dd_mm_yyyy_format}}
DEPONENT
(Signature)
VERIFICATION
I, the above-named deponent, do hereby verify that the contents of this affidavit are true and correct to the best of my knowledge and belief and that nothing material has been concealed therefrom.
Verified at {{place}} on this {{day}} day of {{month}}, {{year}}.
DEPONENT
(Signature)
Attested before me
(Signature & Seal of Notary Public / Executive Magistrate)