LEARNER'S LICENCE

Form 3
[See Rules 3(a),13]

Licence No. OD04 /0021389/2023

Issue Dt. 06-12-2023
Fee Details: Rs.350.0/- /ODW/1090229 /05-12-2023
1. Name SOMANATH KANDI
Father's Name SUBASH CHANDRA KANDI
2.
3. Date of Birth 10-03-1999

4. Blood Group O+
5. Present Address AT-UCHADIHA Rameswar Rameswar Salepur Cuttack
Odisha,754201
6. Permanent Address AT-UCHADIHA Rameswar Rameswar Salepur Cuttack
Odisha,754201
7. Marks of Identification (1)CUT OF MARK MY LEG
(2)
Specimen Signature/Thumb impression of
8. Qualifications 10+2 or Equivalent the holder of the Licence
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
*The holder of the licence has exempted from the medical test under rule 6
LMV, MCWG,
....................................................................................................................................................
*The holder of the licence has passed the Preliminary test under rule11(1)of the Central Motor Vehicle Rules,1989

*Strike off which ever is inapplicable

This Licence is valid from 06/12/2023 To 05/06/2024

Licensing Authority
Warning: RTO,CHANDIKHOL
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.