TRANSPORT DEPARTMENT Uttar Pradesh

ASST.RTO, SECTOR 33 NOIDA UTTAR PRADESH 201301

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

Fee DetailsRs.350.0/- /UPS/4724842 /05-11-2023ApplNo: 3739330219 Issue Dt.05-11-2023

1.Licence No. UP16 /0004423/2023

2.Name ARMAN ANSARI

3.Father's Name MOHARAM ANSARI

4.Date of Birth 17-02-2003

5.Optional/Blood Group- Unknown

RH Factor

6.Present Address VILL-POST-SADARPUR VILLAGE

THANA- SECTOR-39 NOIDA UP,201301 Holder's Signature

7.Permanent VILL-POST-CHITTAKHAL THANA-CHITTAKHAL

SIWAN BIHAR 841435

8.Marks of Identification (1) Right hand side one small black birth mark

(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:
Motor Cycle with Gear(Non Transport), 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 05/11/2023 To 25/04/2024

Signature and Designation of

the Licensing Authority
Warning:ASST.RTO, NOIDA .UTTAR PRADESH
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.