Form 3 [see Rule 3(a),13]
LEARNER LICENCE
LL No. : MH30 /0007864/2022
Name : GAURAV RAVINDRA PATOKAR
Father's Name RAVINDRA PATOKAR
Address : HANUMAN MANDIR JAVAL Z.P
COLONY KHADKI BU Akola
Maharashtra,444004
Temp. Add : HANUMAN MANDIR JAVAL Z.P
COLONY KHADKI BU Akola
Maharashtra,444004
D.O.B. : 21-10-2002 B.G. : Unknown
Identification Marks :
(Sign/Thumb Of Holder)
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
DOI: 18-02-2022 vehicle of the following description
....................................................................
MCWG,
This Licence is valid from 18/02/2022 to 17/08/2022
*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
Application No: 726926822
Licence Authority