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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
LL No. : MH48 /0019594/2023 DOI: 20-03-2023 motor vehicle of the following description
Name : ABHIJEET AJAY CHAVAN ...........................................................
LMV,
Father's Name AJAY CHAVAN This Licence is valid from20/03/202 to 19/09/202
Address : D/304 STAR SAPPHIER Y K NAGAR NX *The holder of the licence3 has passed the medical
3 test under
NEAR EXPERT SCHOOL BOLINJ VIRAR rule 5 and from the preliminary test referred to in rule 11(1) of
WEST Vasai,Palghar,MH,401303 the CMV Rules ,1989.
*The holder of the licence has exempted from the medical test
Temp. Add : D/304 STAR SAPPHIER Y K NAGAR NX under rule 6 and from the Preliminary test under rule11(2)of
NEAR EXPERT SCHOOL BOLINJ VIRAR
WEST Vasai,Palghar,MH,401303
the Central Motor Vehicle Rules,1989

D.O.B. :31-03-2001 B.G. :A+


Identification Marks :
Application No:
974070223
(Sign/Thumb Of Holder) Licence Authority

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