Sagar Kumar: Asst - Rto, Muzaffarnagar

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TRANSPORT DEPARTMENT

ASST.RTO,MUZAFFARNAGAR
FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE

Fee Details Rs.350.0/- /UPV/602765 /07-02-2022 ApplNo: 551761722 Issue Dt. 21-02-2022

1. Licence No. UP12 /0005985/2022


SAGAR KUMAR
2. Name

3. Father's Name BIJENDRA KUMAR

4. Date of Birth 17-09-2003

5. Optional/Blood Group- Unknown


RH Factor

6. Present Address 784 KITHORA MUZAFFARNAGAR,UP,251315

Holder's Signature

7. Permanent 784 KITHORA MUZAFFARNAGAR,UP,251315

(1)
8. Marks of Identification
(2)
is licenced to drive a Motor Vehicles of the following description through out India and in case of E-
rickshaw or E-cart, in specified areas or routes, as a learner,subject to the provisions of Rule 3 of
the Centeral Motor Vehicle Rules 1989:
LIGHT MOTOR VEHICLE, Motor Cycle with Gear(Non Transport),
.......................................................................................................................................

*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 is exempted from 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 21/02/2022 To 20/08/2022

Signature and Designation of


the Licensing Authority
Warning: ASST.RTO,MUZAFFARNAGAR
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.

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