TRANSPORT DEPARTMENT Uttar Pradesh
RTO, MORADABAD
FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.200.0/- /UPS/1987899 /11-06-2019 ApplNo: 1658305619 Issue Dt. 26-07-2019
1. Licence No. UP21 /0018296/2019
2. Name AKASH SAXENA
3. Father's Name BHASKAR SAXENA
4. Date of Birth 22-10-2002
5. Optional/Blood Group- Unknown
RH Factor
6. Present Address SARSWATI VIHAR GOVIND NAGAR
THANA KATGHAR
MORADABAD,UP,244001 Holder's Signature
7. Permanent SARSWATI VIHAR GOVIND NAGAR
THANA KATGHAR
MORADABAD,UP,244001
(1)
8. Marks of Identification
(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 without Gear (Non Transport),
.......................................................................................................................................
*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 26/07/2019 To 25/01/2020
Signature and Designation of
the Licensing Authority
Warning: RTO, MORADABAD
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.