FORM 3

[See Rule 3(a) and 13]

LEARNER'S LICENCE

Fee Details Rs.350.0/- /CQ/38685 /19-06-2020 ApplNo: 1368386920

1. Licence No. KA51 /0020072/2020

HARISH GOPINATH
2. Name
Father's Name GOPINATH SRINIVASARAGAVAN
3.
4. Date of Birth 06-10-1987
Optional/Blood Group- O+
5.
RH Factor
6. Present Address FLAT NO 106 1ST FLOOR SLV SREE VARI
ENCLAVE 4TH CROSS NEELADRI NAGAR NXT
TO ICICI ATM SHIKARIPALYA BANGALORE
SOUTH,BANGALORE,KA,560100
7. Permanent NO 6/3 4TH CROSS SEETHAPPA LAYOUT Holder's Signature
MANORAYANAPALYA Bangalore
North,Bangalore,KA,560032

8. Dschool Name

9. Enroll No

Enroll Dt
10.
Marks of Identification (1)
11
(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 19/06/2020 To 18/12/2020

Licensing Authority
Warning:

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

Fee Details Rs.350.0/- /CQ/38685 /19-06-2020 ApplNo: 1368386920

1. Licence No. KA51 /0020071/2020

HARISH GOPINATH
2. Name
Father's Name GOPINATH SRINIVASARAGAVAN
3.
4. Date of Birth 06-10-1987
Optional/Blood Group- O+
5.
RH Factor
6. Present Address FLAT NO 106 1ST FLOOR SLV SREE VARI
ENCLAVE 4TH CROSS NEELADRI NAGAR NXT
TO ICICI ATM SHIKARIPALYA BANGALORE
SOUTH,BANGALORE,KA,560100
7. Permanent NO 6/3 4TH CROSS SEETHAPPA LAYOUT Holder's Signature
MANORAYANAPALYA Bangalore
North,Bangalore,KA,560032

8. Dschool Name

9. Enroll No

Enroll Dt
10.
Marks of Identification (1)
11
(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

Motor Cycle with 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 19/06/2020 To 18/12/2020

Licensing Authority
Warning:

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