Light Motor Vehicle,: Warning

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FORM 3

[See Rule 3(a) and 13]


LEARNER'S LICENCE

Fee Details Rs.200.0/- /ES/3118074 /05-02-2023 ApplNo: 448820723

1. Licence No. KA53 /0009991/2023

MOUSUMI KARMAKAR NAYEK


2. Name

3. Husband Name KRISHNENDU NAYEK

4. Date of Birth 01-12-1983

Optional/Blood Unknown
5.
Group-RH Factor
J 903 ROSHAN VASANTHA APTS VARTHUR
6. Present Address MAIN ROAD NEAR MARATHAHALLI RAILWAY
BRIDGE MARATHAHALLI BANGALORE
KARNATAKA,560037
Holder's Signature
7. Permanent Address J 903 ROSHAN VASANTHA APTS VARTHUR
MAIN ROAD NEAR MARATHAHALLI RAILWAY
BRIDGE MARATHAHALLI BANGALORE
KARNATAKA,560037
8. Marks of Identification (1)

(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,


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

*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 from14/02/2023 To 13/08/2023

Licensing Authority
Warning: RTO,KR PURAM

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 computer generated document. It does not require any authentication

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