FORM 3

[See Rule 3(a) and 13]

LEARNER'S LICENCE
Fee Details Rs.380.0/- /TNW/963299 /19-04-
2023
1. Licence No. TN73Z/0001279/2023

2. Name DURAI L

3. Father's Name LAKSHMANAN V

4. Date of Birth 06-02-1976

Optional/Blood
5. Group-RH Factor
O+

NO 169 SATHYAMOORTHY STREET

6. Present Address NEDUMPULU PANAPAKKAM NEMILI TK
,RANIPET DT,631052

NO 169 SATHYAMOORTHY STREET

7. Permanent NEDUMPULU PANAPAKKAM NEMILI TK
,RANIPET DT,631052

8. Marks of Identification (1)

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

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

20/04/2023 To 19/10/2023
This Licence is valid from date

UNIT OFFICE, ARAKKONAM,

Warning:
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.
If any false information/discrepancies found at later stage, necessary criminal action will be taken
against the applicant.
LLR Approved Date: 20-04-2023 13:42