TRANSPORT DEPARTMENT Uttar Pradesh
RTO, LUCKNOW
FORM 3
[See Rule 3{a) and 13]
LEARNER'S LICENCE
Fee Details s.350.0/- /UPS/1840317 /31-05-2019 AppiNo: 1541989419 Issue Dt. 18-06-2019
1. Licence No. UP32 /0030372/2019
2, Name DIN DAYAL YADAV
3. Father's Name RAM MILAN YADAV
4, Date of Birth 05-06-1989
5, Optional/Blood Group- Unknown
RH Factor te
6. Present Address 12 VILLAGE-MANJHORIYA MAJHERIA Din Dayal Yadav |
Lucknow,UP,227202 o
ueknow, Holder's Signature
7. Permanent 12 VILLAGE-MANJHORIYA MAJHERIA
Lucknow,UP,227202
g, Marks of Identification (1)
(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:
“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 18/06/2019 To 17/12/2019
Signature and Designation of
the Licensing Authority
Warning: RTO, 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.