FORI,4 5A

[See prov son to clause (b) of sub-rule (i) of rule 17, clause (aa) of sub-rule (1) of rule T 8 and
serial number 20 of Table E in sub-rule (1) of rule 311

CERTIFICATE OF FUEL EFFICIENT DRIVING TRAINING ISSUED BY DRIVING

3
;
SCHOOL OR ESTABLISH\,1ENT 5 ;
r-rs . ro ^pd yrrar sn,.. s.',l. K"n.",'....].I:-E-s-:.I9].'..1. ........................................

son/vvite/Daughterof BABURAo
Aadhaar number (if already avallable with the applicant)
E
Aadhaar applicalion number (iI applied) ........XXXXXMXX.....-...
residrnsat.....SAVN-ERBAAq.[,lA.IAh.HE.Pl.KhA.PA.S.A.v.NER,NAAPUR34.'1.1p.]........................was
,?3:i
enrolled in this school on ......1Q:.Q-8.?Q?1......................... .......and his/her name ts registered ar Ee
serial number .?9p!-6.-6.-q1-2.1...........-... in our register in Form 14 and that he/she has undergone the
r
course oftrainlng in driving as below :

Course of Training in Driving

To
.E
TRANS 10-08-2021 10-08-2021

I em satisfred w th his/her physicalfltness and sense of responsib lity.

r 3 -a
Signature......._...._..........
Name and designation...

Name and address ol the driving school with licence

number and date of issue.

.PAIIAglfl .-Dsl.vll!9.. .. . M.H4Q-2QzQDSt 00003

SCHOOL
lss. Dl.13-10-2020

p; *a
reEo
(,6i

E
z
*ZAa
.9
=Foq
6 >-H?1
9c,
2z

ci
z