LEARNER'S LICENCE

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

Licence No. OD32 /0006902/2022

Issue Dt. 21-11-2022
Fee Details: Rs.200.0/- /ODV/973049 /15-11-2022
1. Name BIRUPAKHAYA BISHOYI
Father's Name BANSIDHAR BISHOYI
2.
3. Date of Birth 17-05-2001

4. Blood Group B+
5. Present Address DHANURJAYANAGAR ,GAYATRI NAGAR Lalsingi (CT)
BHANJANAGAR,Ganjam,OD,761125
6. Permanent Address DHANURJAYANAGAR ,GAYATRI NAGAR Lalsingi (CT)
BHANJANAGAR,Ganjam,OD,761125
7. Marks of Identification (1)
(2)
Specimen Signature/Thumb impression of
8. Qualifications 10+2 or Equivalent the holder of the
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
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 21/11/2022 To 20/05/2023

Licensing Authority
Warning: RTO,BHANJANAGAR
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.