Rto, Mirzapur Transport Department: Form 3 (See Rule 3 (A) and 13)

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TRANSPORT DEPARTMENT

RTO, MIRZAPUR
FORM 3
[See Rule 3(a) and 13]

LEARNER'S LICENCE
Fee Details Rs.350.0/- /UPW/2536565 /14-07-2023 ApplNo: 2653438523 Issue Dt. 26-07-2023

1. Licence No. UP63 /0010536/2023

2. Name FAIZAN AHAMED

3. Father's Name GULAM KADIR

4. Date of Birth 03-05-1999

5. Optional/Blood Group- Unknown


RH Factor

6. Present Address Jasowar Mirzapur Uttar Pradesh,231001

Holder's Signature
7. Permanent Address Jasowar Mirzapur Uttar Pradesh,231001

8. Marks of Identification (1)

(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:

Motor Cycle with Gear(Non Transport), LIGHT MOTOR VEHICLE,


..........................................................................................................................................................

*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 from 26/07/2023 To 25/01/2024

Signature and Designation of


the Licensing Authority
Warning: RTO, MIRZAPUR
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.
Note: This is a computer generated Document. No signature is required.This Learners Licence is issued based on the Information and
declaration submitted by the applicant with regards to his/her physical fitness to drive a Motor Vehicle and liable for cancelation if found
incorrect/ unfit to drive.

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