REGIONAL TRANSPORT OFFICE, KOTA

Rajasthan
FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE (thru eKYC )
Fee Details: Rs.200.0/- /RJW/145107 /20-01-2023 Appl No. 256369423 Issue Dt. 20-01-2023

1. Licence No. RJ20 /0001554/2023

2. Name PREETI CHAUDHARY

3. Husband Name VIJAY KUMAR CHAUDHARY

4. Date of Birth 20-08-1985

5. Optional/Blood Group- A+
RH Factor

A - 31 PARSHWNATH RESIDENCY BUNDI

6. Present Address
ROAD KUNHADI KOTA Shambhoopura
Kota Rajasthan,324008 Holder's Signature

7. Permanent A - 31 PARSHWNATH RESIDENCY BUNDI

ROAD KUNHADI KOTA Shambhoopura
Kota Rajasthan,324008
(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

LMV, MCWG,
......................................................................................................................................

*The holder of the licence has passed the medical test under rule 5 and from the preliminary test
referred to in rule 11(1) of the CMV Rules ,1989.
*The holder of the licence has exempted from the medical test under rule 6 and from the
Preliminary test under rule11(2)of the Central Motor Vehicle Rules,1989
*Strike off which ever is inapplicable

This Licence is valid from 20/01/2023 To 19/07/2023

Licensing Authority
REGIONAL TRANSPORT OFFICE,
Warning: KOTA

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
Note: This document is electronically generated and no signature is required.