For Any Reference Visit: Https://sarathi - Parivahan.gov - In/sarathiservice

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1/6/2021 New LL Acknowledgement

ACKNOWLEDGEMENT SLIP

Application No : 70142821 Name : DEV B MODI


Application Date : 06-01-2021 Date of Birth : 15-08-2003
Blood Group : B+ Father Name : BHAVESHKUMAR G MODI
Applicant Gender : Male

Services Requested Documentary Proof Required


• Age Proof
• Form1 (Self Declaration)
1. Issue of New LL Application ( MCWOG )
• Parents Consent (For Age Between 16-18 yrs)
• Address Proof (Present)

Your application is submitted for processing and quote this Application Number: 70142821 for all future
reference .
An SMS has been sent to your registered mobile Number : ******5399 .
Note 1: Applicant should take print out of the Application Form (pre filled) and duly signed with all
required Documents to be concerned RTO 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 :

A-122 KAILASH NAGAR SOCIETY RTO,SURAT


BAMBAGATE DUMBHAL B/S ANNAPURNA TEMPLE
Surat City,Surat,GJ PAL HAZIRA ROAD
Pincode : 395010 PAL
PinCode: 395001

Phone: 02612977191

https://sarathi.parivahan.gov.in/sarathiservice/newLLAppltoredirect.do 1/1

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