SHUBHAM

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Form 3 [see Rule 3(a),13] is licenced to drive throughout India as a learner subject to the

LEARNER LICENCE provisions of rule 3 of the Central Motor Vehicles Rules 1989, a motor
LL No. : MH11 /0037725/2024 DOI: 27-08-2024 vehicle of the following description
Name : SHUBHAM JAGANNATH DHERE ....................................................................
MCWG,
Father's Name JAGANNATH HARIBA DHERE This Licence is valid from 27/08/2024 to 26/02/2025
Address : 00 Mhaswad road dhere wasti Varkute *The holder of the licence has passed the medical test under rule 5 and
malavadi Varkute Varkute malavadi Man from the preliminary test referred to in rule 11(1) of the CMV Rules
Satara Maharashtra,415509 ,1989.
*The holder of the licence has exempted from the medical test under
Temp. Add : 00 Mhaswad road dhere wasti Varkute rule 6 and from the Preliminary test under rule11(2)of the Central Motor
malavadi Varkute Varkute malavadi Man
Satara Maharashtra,415509
Vehicle Rules,1989

D.O.B. : 20-03-2006 B.G. : Unknown


Identification Marks :
Application No: 3156071724
(Sign/Thumb Of Holder) Licence Authority

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