FORM L.L.D.
[See Rule 12(1)]

Intimation Of loss or destroyed of driving licence and application for duplicate
Applicant's Name * :    Mobile No :   
Email Id :   Id Proof * :
  Enter the Id Proof Number * :  
1.  To the Office of the
2.  Full Name of Applicant  
3.  Permanent Address
4.  Present Address
5.  Father/Husbands  Name  
6.  Driving Licence Number  
7.  Issuing Licencing Authority
8.  Issuing Date (dd/mm/yyyy)  
9.  Reason For Applying Duplicate Licence
10.  Other Reason
 Upload Police Report in case of Loss of Licence
(only .pdf file Max size 500KB)
 
Enter the code shown:
 

 
NOTE: e-Service is an attempt to take the service delivery at your doorstep. This site at present does not generate any online certificate/record. It provides a means to submit the application online. The Applicant is requested to retain the Application Reference Number that shall be provided on successful submission of the application. The status of the same shall be made available through SMS/Email.