Form 3 [see Rule 3(a),13] is licenced to drive throughout India as a learner subject to the

LEARNER LICENCE provisions of rule 3 of the Central Motor Vehicles Rules 1989, a motor
LL No. : MH48 /0047303/2021 DOI: 06-08-2021 vehicle of the following description
Name : PRACHI D PINNAMNENI ...........................................................
MCWOG,
Father's Name DEEPAKRAO J PINNAMNENI This Licence is valid from 06/08/2021 to 05/02/2022
Address : A-303 SHANTINATH PARK CHS LTD *The holder of the licence has passed the medical test under rule 5 and
VIRAR WEST NEAR OLD VIVA COLLEGE from the preliminary test referred to in rule 11(1) of the CMV Rules
,401303 ,1989.
*The holder of the licence has exempted from the medical test under
Temp. Add : A-303 SHANTINATH PARK CHS LTD rule 6 and from the Preliminary test under rule11(2)of the Central Motor
VIRAR WEST NEAR OLD VIVA COLLEGE
,401303
Vehicle Rules,1989

D.O.B. : 12-02-2001 B.G. : O+

Identification Marks :
Application No: 2371053121
(Sign/Thumb Of Holder) Licence Authority