FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.650.0/- /vee/253 /09-10-2019 ApplNo: 3520689719
1. Licence No. HR35 /0008338/2019
2. Name SURENDER SINGH
3. Father's Name JHAMMAN LAL
4. Present Address VILL MOSNOTA(259) TEH NANGAL
CHOUDHARY
,MAHENDRAGARH,HR,123023
5. Permanent VILL MOSNOTA(259) TEH NANGAL
CHOUDHARY
,MAHENDRAGARH,HR,123023
6. Date of Birth 11-07-1993 Holder's Signature
7. Optional/Blood Group- B+
RH Factor
8. Marks of Identification (1)
(2)
is licenced to drive throughout India as a learner subject to the provisions of rule 3 of the Central
Motor Vehicles Rules 1989, a motor vehicle of the following description
LMV, MCWG,
.......................................................................................................................................
*The holder of the licence has passed the preliminary test referred to in rule 11(1) of the CMV
Rules ,1989.
*The holder of the licence has exempted the medical test under rule 6 and from the Preliminary
test under rule11(2)of the Central Motor Vehicle Rules,1989
*Strike off which ever is inapplicable
This Licence is valid 09/10/2019 To 08/04/2020
Licensing Authority
Warning: RLA NARNAUL (NT)
The attention of the holder of this licence is drawn to rule 3 of CMV Rules, 1989 which prohibits him
from driving any motor vehicle unless he has besides him a person duly licenced to drive the vehicle
and in every case , the vehicle carries "L" plates both in front and in the rear of the vehicle.