5/11/25, 11:40 PM Application Number
Application Reference Slip
Application No : 1636688525 Name : DR ISHWARI PRAJNA
Application Date : 28-04-2025 Date of Birth : 20-05-1975
Blood Group : O+ Husband Name : VISHWANATH RAO
Applicant Gender : Female
Services Requested Documentary Proof Required
• Driving Licence
1. Change of Address in DL
• Address Proof (Present)
2. Renewal of DL
• Medical Certificate-Form1A
Application Number is generated for the above mentioned services. The application number is:
1636688525 .
An SMS has been sent to your registered mobile Number : ******9909 .
Note 1: Applicant should take print out of the
Application Form (pre filled)
and duly signed with all required Documents to the concerned RTO / RLA 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 Regional 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 Regional 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
Regional Transport Office at the earliest along with the necessary documents, to complete the remaining
process.
For any reference visit: [Link]
Applicant Address : RTO Location :
SHREE DHANVANTHARI DNO 2-2112 RTO,MANGALORE
RAILWAY CROSS ROAD HAMPANAKATTE,
KILPADY,DAKSHINA KANNADA NEHRU MAIDHAN ROAD, EAST
Pincode : 574154 [Link] CIRCLE-575001
Phone: 0824-2423476
Application Form (pre filled)
Print Form1
Print Form1-A
[Link] 1/2
5/11/25, 11:40 PM Application Number
Print Acknowledgement
[Link] 2/2