August 4, 2021 12:27 AM
Confirmation Number: 1-439-290-176
Dear ABHIJEET PRADHAN,
Thank you for applying for your Class D Passenger Permit. Listed below is a summary of the information you entered. If this
information is not correct, please notify us during your visit to RMV Service Center.
Visit Mass.Gov/RMV to make a reservation for an RMV Service Center.
___________________________________________________________________________________
Name: ABHIJEET PRADHAN
Date of Birth: 1/8/1998
Residential Address: 202 OTIS ST APT 3 CAMBRIDGE MA 02141-1585
Registering to Vote?: NO
Gender: MALE
Eye Color: BROWN
Height: 5 FT 6IN
Military: N/A
Registering as an Organ and Tissue Donor?: YES
Applying for a Real Credential?: NO
Total Due: $30.00
___________________________________________________________________________________
To complete your transaction, please present this application, as well as any of the documentation you selected in the application.
Please note that laminated documents will NOT be accepted during your service center visit. All documents must be originals,
photocopies will not be accepted.
Documents Required
I-94 Arrival/Departure Record for Lawful Presence Requirement
U.S. Immigrant Visa for Lawful Presence Requirement
Unexpired Foreign Passport for Lawful Presence Requirement
Bank Statement w/ Cancelled Checks (within 60 days) for Proof of Residency Requirement
Actions Required at Service Center
The online lawful presence authorization system has encountered an issue while verifying your lawful status.
If you cannot present any of the required documents at the time of your transaction, you must present documents from our
acceptable documentation list, which can be found at https://www.mass.gov/guides/massachusetts-identification-id-requirements.
These documents must be submitted no later than 60 days from the date of this letter.
I affirm under the penalties of perjury that the information provided is true and accurate. I further understand that providing false
statements or information is punishable and subject to both imprisonment and a civil driver’s license suspension pursuant to M.G.L.
c.90, §24B.
Applicant Signature________________________________________Applicant SSN___________________ Date______________
Thank you for choosing mass.gov/rmv as your Service Center of choice.
Keep up to date with RMV updates by following us at www.twitter.com/massrmv
Clerk Initials____________ Date____________
Massachusetts Registry of Motor Vehicles | P.O. Box 55889, Boston, MA 02205-5889 | mass.gov/rmv
