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Applicant / Owner Details

Applicant Name :   Father's Name :
Sex :   Mother's Name :
Age :   Martial Status :
Address Line 1 :   City :
Address Line 2 :   State :
Pin Code :   E-mail ID :
Telephone No :   Mobile No :
Aadhar No :   Pan No :
Upload Aadhar Card : ** File Type Should be PDF & File Size Not More Than 1 MB**

e-Rickshaw Transport Registreation Details

Registration No :   Registration Date :
Valid Upto :   Office Name :
Chassis No :        
Upload RC Book : ** File Type Should be PDF & File Size Not More Than 1 MB**

e-Rickshaw Driver Details   Is Owner & Driver is Same Person (Please Tick on Checkbox)

Driver's Name :   Father's Name :
Sex :   Age :
Martial Status :   E-mail ID :
Address Line 1 :   City :
Address Line 2 :   State :
Pin Code :   Mobile No :
Aadhar No :   Driving Lic No :
Upload Driving Lic : ** File Type Should be PDF & File Size Not More Than 1 MB**