RTA,JALANDHAR

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

Licence No. PB08 /0022113/2022 Appl No. 1521598922

Issue Date: 11-07-2022
Fee Details: Rs.420.0/- /PBV/767833 /25-06-2022
1. Applicant Name GURJIT KAUR

2. Husband Name TASVEER SINGH

3. Date of Birth 12-06-1983

Optional/Blood Group
4. B+
-RH Factor
Spicemen signature/ thumb
5. Present Address H NO 274 THAMAYYA PARK JAL CANTT impression of the holder Licence
Jalandhar - I,Jalandhar,PB,144005

6. Permanent Address H NO 274 THAMAYYA PARK JAL CANTT

Jalandhar - I,Jalandhar,PB,144005

7. Marks of Identification (1)

(2)

10th Standard or Equivalent

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
LIGHT MOTOR VEHICLE, Motor cycle without 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 11/07/2022 To 10/01/2023

Licensing Authority
Warning: RTA,JALANDHAR
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.