SDM,RAJPURA
Punjab
FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Uicence No. PB39 /0001406/2023 pp! No.1116857823
Issue Date: 29-03-2023
Fee Details Rs.520.0/- /PBW/407772 /28-03-2023
1. Applicant Name SHAMSHER SINGH
2, Father'sName —_DIDAR SINGH
3, Date of Birth 28-08-1997
ion 4
OptionayBicod a
Group-RH Factor
Spicemen signature/ thumb
5, Present Address _ Vpo Chalheri Chalheri Patiala impression of the holder Licence
Punjab,140401
6. Permanent Address _ Vpo Chalheri Chalheri Patiala
Punjab,140401
7. Marks of Identification (1)
(2)
8 Qualifications 10th Standard or Equivalent
is licenced to drive throughout India as a learner subject to the provisions of rule 3 of
the CMV Rules 1989, a motor vehicle of the following description
*The holder of the licence is exempted from medical test under rule 6.
*The holder of the licence has passed the preliminary test referred to in rule 11(1) of
the CMV Rules ,1989.
This Licence is valid from 29/03/2023 To 28/09/2023
igssAadhear Authenticated no signature requiresixs.
Licensing Authority
Warning: SDM,RAJPURA
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 ease , the vehicle carries "L" plates both in
front and in the rear of the vehicle.