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Learner'S Licence: Form 3 (See Rule 3 (A) and 13)

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0% found this document useful (0 votes)

28 views1 page

Learner'S Licence: Form 3 (See Rule 3 (A) and 13)

leaners

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faizalnithyaii

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FORM 3

[See Rule 3(a) and 13]

LEARNER'S LICENCE

3843474024
Application No...................................
KL16 /0007903/2024
Learner's Licence No............................... 22-10-2024
Issue Date......................
1. Name : ANILKUMAR S

2. Guardian Name GANGADHARAN G

3. Date of Birth : 15-04-1966

4. Blood Group(Optional) : A+ Spicemen signature/ thumb impression of

the holder of the of the Licence

5. Present Address/ MANJAVILA VEEDU HARISREE LINE VELARKKUDY ATTINGAL PO

CHIRAYINKEEZHU,THIRUVANANTHAPURAM,695601
Permanent Address :

MANJAVILA VEEDU HARISREE LINE VELARKKUDY ATTINGAL PO

6. Temporary/Official(if any): CHIRAYINKEEZHU,THIRUVANANTHAPURAM,695601

7. Marks of Identification : 1.

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, eRIKSH, MCWG,

*The holder of the licence has passed the medical test under rule 5 and the preliminary
test referred to in rule 11(1) of the Central Motor Vehicles Rules ,1989.

*The holder of the licence is exempted from medical test under rule 6 and from the
preliminary test under rule 11(2) of the Central Motor Vehicles Rules, 1989.

This Licence is valid from :22/10/2024 To 21/04/2025

* Strike off whichever is inapplicable

Signature of the Licencing authority

Warning: The attention of the holder of this licence is drawn to rule 3 of Central Motor vehicle 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.
DL Test Schedule
Sl.No Class of Vehicle Date and Time Venue

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Learner'S Licence: Form 3 (See Rule 3 (A) and 13)

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Learner'S Licence: Form 3 (See Rule 3 (A) and 13)

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FORM 3

[See Rule 3(a) and 13]

2. Guardian Name GANGADHARAN G

3. Date of Birth : 15-04-1966

4. Blood Group(Optional) : A+ Spicemen signature/ thumb impression of

5. Present Address/ MANJAVILA VEEDU HARISREE LINE VELARKKUDY ATTINGAL PO

MANJAVILA VEEDU HARISREE LINE VELARKKUDY ATTINGAL PO

is licenced to drive throughout India as a learner subject to the provisions of rule 3 of

LMV, eRIKSH, MCWG,

This Licence is valid from :22/10/2024 To 21/04/2025

* Strike off whichever is inapplicable

Signature of the Licencing authority

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