REGIONAL TRANSPORT OFFICE, JODHPUR

Rajasthan
FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE(thrueKYC )
Fee Details: Rs.350.0/- /RJW/2460747 /20-12-2023 Appl No. 472694582 Issue Dt. 20-12-2023
3
1. Licence No. RJ19 /0037332/2023

2. Name SANGRAM SINGH

3. Father's Name RAMNIWAS

4. Date of Birth 18-05-2002

5. Optional/Blood Unknown
Group-RH Factor

6. Present Address 168 MALIYO KA BAS SOYLA Soyla

Bhopalgarh Jodhpur Rajasthan,342037

Holder's Signature
7. Permanent maliyo ka bas Soyla Soyla
Bhopalgarh Jodhpur Rajasthan,342037

(1)
8. Marks of Identification
(2)

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

LMV, MCWG,
......................................................................................................................................

*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
*Strike off which ever is inapplicable

This Licence is valid from

20/12/202 To 19/06/2024
3
Licensing Authority
REGIONAL TRANSPORT
Warning: OFFICE, JODHPUR

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
Note:This document is electronically generated and no signature is required.