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. : MH12 /0079792/2023 DOI: 26-04-2023 vehicle of the following description
Name : SUMEET KUMBHAR ....................................................................
3W-GV,
Father's Name RAMDAS This Licence is valid from 26/04/2023 to 25/10/2023
Address : A/P- WAGHOLI, TAL-HAVELI *The holder of the licence has passed the medical test under rule 5 and
PUNE.,412207 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
Temp. Add : A/P- WAGHOLI, TAL-HAVELI rule 6 and from the Preliminary test under rule11(2)of the Central Motor
PUNE.,412207
Vehicle Rules,1989

D.O.B. : 01-06-1990 B.G. : Unknown

Identification Marks :
Application No: 1488980623
(Sign/Thumb Of Holder) Licence Authority