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FORM 3

[See Rule 3(a) and 13]


LEARNER'S LICENCE

Fee Details Rs.150.0/- /GJV/1989982 /17-11-2022 ApplNo: 4401648322

1. Licence No. GJ12 /0028480/2022

2. Name ADITYA KIRATSATA

3. Father's Name RUSHIKESH KIRATSATA

4. Date of Birth 13-02-2005

5. Optional/Blood Group- Unknown


RH Factor

6. Present Address PLOT NO 130 WARD DC 05


PANJOGHAR ADIPUR ADIPUR
Gandhidham,Kachchh,GJ,370205 Holder's Signature

7. Permanent PLOT NO 130 WARD DC 05


PANJOGHAR ADIPUR ADIPUR
Gandhidham,Kachchh,GJ,370205
(1)
8. Marks of Identification
(2)

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

MCWOG,
.......................................................................................................................................

This Licence is valid 21/11/2022 To 20/05/2023

Licensing Authority
Warning: RTO,BHUJ-KACHCHH

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.

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