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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. : MH05 /0009805/2023 DOI: 01-02-2023 vehicle of the following description
Name : KRISH JAIN ...........................................................
LMV,
Father's Name SUJIT JAIN This Licence is valid from 01/02/2023 to 31/07/2023
Address : FLAT NO 203 A WING GODAVARI *The holder of the licence has passed the medical test under rule 5 and
HEIGHTS NR DATTA MANDIR VADAVALI from the preliminary test referred to in rule 11(1) of the CMV Rules
AMBARNATH EAST,THANE,MH,421501 ,1989.
*The holder of the licence has exempted from the medical test under
Temp. Add : FLAT NO 203 A WING GODAVARI rule 6 and from the Preliminary test under rule11(2)of the Central Motor
HEIGHTS NR DATTA MANDIR VADAVALI
AMBARNATH EAST,THANE,MH,421501
Vehicle Rules,1989

D.O.B. : 02-11-2004 B.G. : Unknown


Identification Marks :
Application No: 345794523
(Sign/Thumb Of Holder) Licence Authority
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. : MH05 /0009804/2023 DOI: 01-02-2023 vehicle of the following description
Name : KRISH JAIN ...........................................................
MCWG,
Father's Name SUJIT JAIN This Licence is valid from 01/02/2023 to 31/07/2023
Address : FLAT NO 203 A WING GODAVARI *The holder of the licence has passed the medical test under rule 5 and
HEIGHTS NR DATTA MANDIR VADAVALI from the preliminary test referred to in rule 11(1) of the CMV Rules
AMBARNATH EAST,THANE,MH,421501 ,1989.
*The holder of the licence has exempted from the medical test under
Temp. Add : FLAT NO 203 A WING GODAVARI rule 6 and from the Preliminary test under rule11(2)of the Central Motor
HEIGHTS NR DATTA MANDIR VADAVALI
AMBARNATH EAST,THANE,MH,421501
Vehicle Rules,1989

D.O.B. : 02-11-2004 B.G. : Unknown


Identification Marks :
Application No: 345794523
(Sign/Thumb Of Holder) Licence Authority

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