Mobile:

Tel. No.:

E-Mail:

. 76, Veer Nariman Road, P.O. Box 11104, Churchgate, Mumbai - 400 020.Phone: 220;4 1085,2204 1271 . Fax: 2204 1382. Email: wiaaindia@rediffmail.com

Visit us at www.wiaaindia.comApplication Form For INTERNAilONAL DRIVING PERMIT

[The Association may require the Applicant to pass a Test of Competance to DriveConducted by one of its Examiners on the type of vehicle for which the permit

is applied for (see below)l

Full Name of Applicant (Block Letters) Mr,/Mrs./MiSurname (to be underlined)

Membership No Valid uptq

Town where Born

Year Month and Date of Birth

Class of Vehicle for which Permit required *A.B (See below)

Passoort No. Place of lssue

lssuing Authority Date of Expiry

Approximate date of departure

Signature of Applicant Verified by

Requirements from the Applicant :

Four ldentical Passporl Size (3.5 cm x 3.5 cm)Coloured Photographs

Curent lndian Driving Licence Original + Xerox

Passport in Original+ Xerox

Fee and Service Charges Rs. 800/-

Current M/Ship Card

The address mentioned on the Passport and in the

Driving Licence should be the same of Mumbai

As the permit valid for only one year from the date ofissue, it is advisable to apply for it a week before one'sdeparture.

Date & Signature of Examiner:

Applicant's lndian Driving Licence Particulars

Name1)

2)

3)

4)

5)

6)

Licence No.

Date of lssue

lssuing Authority

Class of Vechicle

Date of Expiry

Remarks

( FOR OFFTCE USE ONLY )

l.D.P. No Date

.A Motor cycles with or without a side-car, invalid carriages and three wheeled vehicle with an unladen weight not exceeding400 kg. 900 lbs.

B Motor Vehicles used for the transport of passengers and comprising in addition to the driver's seat at most eight seatsor those used for the transport of goods and having a permissible maximum weight not exceeding 3,500 kg (7,700 lbs.)

rith a linhl lrailar