Apply Learning Licence | Transport Department, Himachal Pradesh

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Personal Details
Applied for* :
Name* :	Note 1: Name as recorded in the Matriculation/Secondary Examination Certificate. Note 2: Please do not use any prefix such as Mr. or Ms. etc unless it consists of only 3 letters as 4 letters are mandatory for NAME field.
Gender* :
Date Of Birth* :	[Date of Birth as recorded in the Matriculation/Secondary Examination Certificate]
Father's Name* :	[Please do not use any prefix such as Shri or Dr. etc.]
Mother's Name* :	[Please do not use any prefix such as Smt or Dr. etc.]
Nationality* :
Marital Status* :
Physically Challenged :
Religion* :
Community* :	[Candidates belonging to OBCs but coming in the ' Creamy Layer ' and thus not being entitled to OBC reservation will be treated as General community] [SC /ST /OBC /PH Candidates claiming relaxation must ensure that all certificates should have been issued earlier than the closing date.]
Do you belong to Minority :
Educational Qualification
Educational qualifications* :
Address
	[Do not enter your name again in the address field]
Line 1* :
Line 2* :
Line 3 :
District/City* :
State/UT* :
PIN Code* :
Phone No. with Area Code :
Mobile No.* :
e-mail* :
Confirm e-mail* :

(*) - Star marked fields are essentially to be filled by the candidate.