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Get Driver's License And Operator's Permit Application - Department Of ...

E: Issued by: New Renewal Receipt No. Duplicate Receipt No. NAME: Driver s License Permit No.: L-Permit Receipt No. (Last) ADDRESS: Place of Birth: Weight (lbs.) Mailing: Height (ft./inch) Employer (State) Citizenship Eye Color Hair Color Date of Birth Blood Type Marital Status Telephone No. Home Social Security No.: OFFICIAL USE ONLY Glasses Contact Lens Others Yes Yes Yes No No No Work Passport No.: Right Eye Left Eye Both Eye Pass Fail Entry Permit No.: Date Tes.

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