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SDM,BATALA

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

Licence No. PB18 /0010351/2022 Appl No. 3292842222


Issue Date: 22-08-2022
Fee Details: Rs.520.0/- /PBV/1038752 /17-08-2022
1. Applicant Name AMRITPAL SINGH

2. Father's Name SAHIB SINGH

3. Date of Birth 17-03-2002


Optional/Blood Group
4. A+
-RH Factor
Spicemen signature/ thumb
5. Present Address Nathu Khaira (159) impression of the holder Licence
Batala,Gurdaspur,PB,143505

6. Permanent Address Nathu Khaira (159)


Batala,Gurdaspur,PB,143505

7. Marks of Identification (1)

(2)

10th Standard or Equivalent


8. Qualifications

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

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


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

*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 22/08/2022 To 21/02/2023

Licensing Authority
Warning: SDM,BATALA
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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