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RTA,GURDASPUR

Punjab
FORM 3
See Rule 3(a) and 13]
LEARNER'S LICENCE

Licence No. PB06 /0000253/2021 Appl No. 3719828020


Issue Date: 06-01-2021
Fee
Rs.520.0/-/PBT/1118987 /11-12-2020
1. Applicant Name
SITANSHU MANSOTRA
2 Father's Name
RAKESH KUMAR
3. Date of Birth
27-11-2002
4, Optional/Blood Group
RH Factor B-

5 Present Address Spicemen signature/ thumb


VILL JHAROLI BANGAR PO
JHAROLI impression of the holder Licence
GURDASPUR,PB,143533

6 Permanent VILL JHAROLI BANGAR PO JHAROLI


GURDASPUR.PB, 143533

7. Marks of ldentification (1)


(2)

8. Qualifications 10+2 or Equivalent

is licenced to drive throughout India as a learner


subject to the provisions of rule 3 of the CMV
Rules 1989, a motor vehicle of the following
description
Motor
. . . .
******°*
Cycle with Gear(Non Transport), LIGHT MOTOR VEHICLE,
The holder of the licence is exempted from medical test under rule 6.
The holder of the licence has
passed the preliminary test referred to in rule 11(1) of the CMV
Rules,1989.
This Licence is valid from 06/01/2021 To 05/07/2021

Warning: Licensing Authority


The attention of the holder of this licence is RTA.GURDASPUR
from driving any motor vehicle unless he has
drawn to rule 3 of CMV Rules, 1989 which
prohibits him
besides him a person duly licenced to
and in every case, the vehicle carries "L" plates Doth in front drive the vehicle
and in the rear of the vehicle.

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