-

FORM3
(SeeRule3(a)and13) /

LEARNER'SLICENCE

FDetails Rs.190Of·M'BV/523915118-07-2022 ApplNo 1514472922

1.lteenceNo. ""8711001171612022

2 Name S,UKAMALOAS

3 Fa&hef'sName SCHOAS
4 CateofDirth 23-05-197i
5
B+
Opl1onal·BloodGroup.
RHFactor
RANIRHATMEKHLIGANJKAMATCHAND
A{/.//./.M 111. A.'J11." "

RABANOHA,COOCHBEHAR,735301 Holder'sSignature
RANIRHATMEKHLIGANJKAMATCHANO
RABANDHA,COOCHBEHAR,73530 SAFEDRIVESAFELIFE
1
7.Permanent NOROUGHDRIVE
(1)

(2)

islicencedtodrivethroughoutIndiaasalearnersub1ecttotheprovisionsofrule3orlheCentralM
otorVehiclesRules1989,amotorvehicleofthefollowingdescription

TransportVehlcleMIHMV(Goods&Passenger),
t.tI•tttttttttt•t•t• tt•tttt ttttttt 1ttttttttttttttttttt ItI11tIItII•tItItIItItItI tItItIItIIItItIttI IIIItIIIIIIIIIttII'"'"t •tt•t'"t•tItt1

"Theholderofthelicencehaspassedthepreliminarytestreferredtoinrule11(1)oftheCMVRules
,1989.

•Theholderofthelicenceisexemptedfromthemedicaltestunderrule6andrromthe
Preliminarytestunderrule11(2)oftheCentralMotorVehicleRules,1989

•strikeoffwhicheverIsInapplicable

Thislicencelsvalid 17.02.2023 To 16.05.2023

\ I

LicensingAuthority
w.ming: L.AJALPAIGURI
TheattentionoftheholderofthislicenceIsdrawntorule3ofCMVRules.1989whtchpron\'o\sn\m
fromdrivinganymotorvehicleunlesshehasbesideshimapersondulylicencedtodrivethe'lehic\
ee:dineverycase,thevehiclecarries"L"platesbothinfrontandintherearofthevehic\e.