DISTRICT TRANSPORT OFFICE, KISHANGARH

Rajasthan
FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE(thrueKYC )
Fee Details: Rs.200.0/- /RJW/607463 /28-03-2023 Appl No. 112426712 Issue Dt. 28-03-2023
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1. Licence No. RJ42 /0002976/2023

2. Name RESHMA BANO

3. Father's Name NISAR MOHAMMAD

4. Date of Birth 04-03-2003

5. Optional/Blood Unknown
Group-RH Factor

6. Present Address Mirja babdi Karni Nagar Kishangarh

Ajmer Rajasthan,305801

Holder's Signature
7. Permanent Mirja babdi Karni Nagar Kishangarh
Ajmer Rajasthan,305801

(1)
8. Marks of Identification
(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

MCWG, LMV,
......................................................................................................................................

*The holder of the licence has passed the medical test under rule 5 and from the
preliminary test referred to in rule 11(1) of the CMV Rules ,1989.
*The holder of the licence has 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

28/03/202 To 27/09/2023
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Licensing Authority
DISTRICT TRANSPORT OFFICE,
Warning: KISHANGARH

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
Note:This document is electronically generated and no signature is required.