SDM,PATHANKOT

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

Licence No. PB35 /0001568/2022 Appl No. 569109022

Issue Date: 09-02-2022
Fee Details: Rs.270.0/- /PBV/153346 /08-02-2022
1. Applicant Name ANITA RANI

2. Husband Name JASVIR SINGH

3. Date of Birth 08-04-1976

Optional/Blood Group
4. Unknown
-RH Factor
Spicemen signature/ thumb
5. Present Address VILL NAKKIAN PO NAROT JAIMAL SINGH impression of the holder Licence
PATHANKOT,PB,145026

6. Permanent Address VILL NAKKIAN PO NAROT JAIMAL SINGH

PATHANKOT,PB,145026

7. Marks of Identification (1)

(2)

8th Passed
8. Qualifications

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

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 09/02/2022 To 08/08/2022

Licensing Authority
Warning: SDM,PATHANKOT
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.