Trans Gomti Office, Lucknow Transport Department: Form 3 (See Rule 3 (A) and 13)

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TRANSPORT DEPARTMENT

TRANS GOMTI OFFICE, LUCKNOW


FORM 3
[See Rule 3(a) and 13]

LEARNER'S LICENCE
Fee Details Rs.200.0/- /UPX/1815282 /05-05-2024 ApplNo: 1611765824 Issue Dt. 13-05-2024

1. Licence No. UP32A/0010292/2024

2. Name SHANTANU SINGH

3. Father's Name PIYUSH KUMAR SINGH

4. Date of Birth 08-10-2007

5. Optional/Blood Group- Unknown


RH Factor

6. Present Address 100 kursi road adil nagar Lucknow Uttar Pradesh,226022

Holder's Signature
7. Permanent Address 100 kursi road adil nagar Lucknow Uttar Pradesh,226022

8. Marks of Identification (1) MOLE ON LEFT MOUSHTACH

(2)
is licenced to drive a Motor Vehicles of the following description through out India and in case of E-
rickshaw or E-cart, in specified areas or routes, as a learner,subject to the provisions of Rule 3 of
the Centeral Motor Vehicle Rules 1989:

Motor cycle without 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 from 13/05/2024 To 12/11/2024

Signature and Designation of


the Licensing Authority
Warning: TRANS GOMTI OFFICE, LUCKNOW
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 a computer generated Document. No signature is required.This Learners Licence is issued based on the Information and
declaration submitted by the applicant with regards to his/her physical fitness to drive a Motor Vehicle and liable for cancelation if found
incorrect/ unfit to drive.

Note:
(1) As per section 4(1) of Motor Vehicle Act 1988, the holder of this license is allowed ONLY to drive a motor cycle with engine capacity not
exceeding 50cc, in a public place.
(2) At the time of Permanent Driving License, the holder of this license has to compulsory bring a motor cycle with engine capacity not
exceeding 50cc for driving skill test.

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