SDM,PATHANKOT

FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE

Licence No. PB35 /0007050/2023 Appl No.1783360923

Issue Date: 21-05-2023

Fee Details: Rs.370.0/- /PBW/658954 /16-05-2023
1. Applicant Name VIDITYA KUMAR

2. Father's Name DINESH KUMAR

3. Date of Birth 10-08-2005

Optional/Blood
4. Group-RH Factor Unknown

Spicemen signature/ thumb

5. Present Address 455 WARD NO 29, NEW SHASTRI impression of the holder Licence
NAGAR POST OFFICE PATHAN
Pathankot Gurdaspur Punjab,145001

6. Permanent Address 455 WARD NO 29, NEW SHASTRI

NAGAR POST OFFICE PATHAN
Pathankot Gurdaspur Punjab,145001

7. Marks of Identification (1)

(2)

8. Qualifications 10+2 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

Motor cycle without Gear (Non Transport),

.......................................................................................................................................

*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 21/05/2023 To 20/11/2023
Aadhaar Authenticated no signature required.

Licensing Authority
Warning: SDM,PATHANKOT
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.