SDM,RAIKOT

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

Licence No. PB56 /0001885/2023 Appl No.2373314123

Issue Date: 12-07-2023

Fee Details: Rs.520.0/- /PBW/874257 /25-06-2023
1. Applicant Name SUKHWINDER SINGH BALLU

2. Father's Name PARAMJEET SINGH

3. Date of Birth 17-12-1996

Optional/Blood
4. Group-RH Factor B+

Spicemen signature/ thumb

5. Present Address - - Heran Hiran Ludhiana impression of the holder Licence
Punjab,141107

6. Permanent Address - - Heran Hiran Ludhiana

Punjab,141107

7. Marks of Identification (1) BLACK MOLE IN NECK

(2) BLACK MOLE IN HAND

8. Qualifications 10+2 or Equivalent

is licenced to drive throughout India as a learner subject to the provisions of rule 3 of

the CMV Rules 1989, a motor vehicle of the following description

LIGHT MOTOR VEHICLE, Motor Cycle with Gear(Non Transport),

.......................................................................................................................................

*The holder of the licence is exempted from medical test under rule 6.
*The holder of the licence has passed the preliminary test referred to in rule 11(1) of
the CMV Rules ,1989.
This Licence is valid from 12/07/2023 To 11/01/2024
Aadhaar Authenticated no signature required.

Licensing Authority
Warning: SDM,RAIKOT
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.