Licence No.
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Name
Date of Birth
Optional/Blood Group-
RH Factor
Present Address
Permanent
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
Holder's Signature
*The holder of the licence is exempted from the medical test under rule 6 and from the
Preliminary test under rule11(2)of the Central Motor Vehicle Rules,1989
This Licence is valid To
.......................................................................................................................................
*Strike off which ever is inapplicable
Licensing Authority
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.
Warning:
KA51 /0001159/2022
MOHAMED UZAIR
Father's Name A MOHAMED FAWADULLA
09-04-2001
O+
NO 1012 28TH CROSS JAYANAGAR 4TH
BLOCK BANGALORE S Bangalore
South,Bangalore,KA,560011
NO 1012 28TH CROSS JAYANAGAR 4TH
BLOCK BANGALORE S Bangalore
South,Bangalore,KA,560011
07/01/2022 06/07/2022
RTO,ELECTRONIC CITY
Fee Details ApplNo: 75867422
Rs.300.0/- /SUN51/69370 /06-01-2022
LIGHT MOTOR VEHICLE,
*The holder of the licence has passed the preliminary test referred to in rule 11(1) of the CMV
Rules ,1989.
NOTE:This is computer generated document. It does not require any authentication
FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
