DAXON MOBILITY

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Driver's Name

Phone Number

Address

License Number

🏦 Bank Account Details

Bank Name

Account Holder Name (as per bank passbook)

Account Number

IFSC Code

Branch Name

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Driver's Name

Phone Number

Address

License Number

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1. Personal Details

Full Name

Father's / Husband's Name

Date of Birth

Age

Mobile Number

Alternate Contact

Email ID

Present Address

Permanent Address

2. Driving Licence Details

Licence Number

Licence Type / Category

Valid Up To

Date of Issue

Issuing Authority

Driving Experience (Years)

3. Vehicle Driving Experience

School Bus Van Car Mini Bus

Other Vehicle Type

4. Previous Employment Details

Previous Employer

Designation

Period From

Period To

Reason for Leaving

Employer Contact

Experience (Years)

5. Educational Qualification

Highest Qualification

School / Institution

Year

6. Emergency Contact Details

Name

Relationship

Mobile Number

Address

I declare that all information provided above is true and correct to the best of my knowledge.

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