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25 views

Dinesh D

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No Name
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© © All Rights Reserved
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FORM 3

[See Rule 3(a) and 13]


LEARNER'S LICENCE

Fee Details Rs.355.9/- /CGX/369228 /15-06-2024 ApplNo: 2179834724

1. Licence No. CG30 /0007800/2024

2. Name DINESH SINGH

3. Father's Name RAMPUKAR SINGH

4. Date of Birth 17-07-2002

5. Optional/Blood Unknown
Group-RH Factor

6. Present Address WARD NO 07 GRAM CHUMRA PO CHAKI


Ramanujganj,Balrampur,CG,497220
Holder's Signature

7. Permanent WARD NO 07 GRAM-CHUMRA PO-CHAKI


Ramanujganj,Balrampur,CG,497220

(1)
8. Marks of Identification
(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

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 15/06/2024 To 14/12/2024

Licensing Authority
Warning: DTO,BALRAMPUR
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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