TRANSPORT DEPARTMENT OF GOVT.

OF NCT OF DELHI

FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Licence No. DL1/0015107/2021
Date: 22-08-2021 Application No: 2776726221
Fee Details Rs.500.0/- /DLU/624736 /22-08-2021

1. Name KHUSHI KANDARI

2. Father's Name RAKESH KANDARI

04-01-2003
3. Date of Birth
Optional/Blood Group-
4. RH Factor O+

Present Address:
5.
H N 904,KH N 37/22/2 GALI N 9-A BLOCK Kaushik Enclave Burari
North Delhi Delhi,110084 Specimen Signature/Thumb
impression of the holder of the
Permanent Address: Temporary / Official Address: Licence
H N 904,KH N 37/22/2 GALI N 9-A BLOCK
Kaushik Enclave Burari North Delhi
Delhi,110084
TRANSPORT DEPARTMENT. GOVT OF NCT OF DELHI
6. Marks of Identification (1) MOLE ON UNDER RIGHT LIPS

(2) SCAR ON RIGHT SIDE FOREHEAD

is licensed to drive a motor vehicle of the following description throughout India and, in case of E-
rickshaw or E-cart throughout NCT of Delhi except the prohibited roads, as a learner,subject to the
provisions of rule 3 of the Central Motor Vehicle Rules,
LIGHT MOTOR VEHICLE

The holder of the licence has passed the medical test under rule 5 and the preliminary test
referred to in rule 11(1) of the CMV Rules ,1989.
The holder of the licence is exempted from the medical test under rule 6 and from Preliminary test
under rule 11(2) of the CMV Rules,1989

This Licence is valid from 22/08/2021 To 21/02/2022

TRANSPORT DEPARTMENT. GOVT OF NCT OF DELHI

Licencing Authority
THE ATTENTION:
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 the front and in the rear of the
vehicle.
** In case of mistake in personal particulars, Please get it corrected from MLO before depositing
fees for Permanent Driving License(PDL).