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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 motor
LL No. : MH01 /0069690/2023 DOI: 05-06-2023 vehicle of the following description
Name : NILESH VISHWAKARMA ....................................................................
LMV-TR,
Father's Name SANJAY VISHWAKARMA This Licence is valid from 05/06/2023 to 04/12/2023
Address : DHARAVI KUMABHAR WADA 2ND WADI *The holder of the licence has passed the medical test under rule 5 and
SAHEBCHI CHAWL 90 FEET ROAD from the preliminary test referred to in rule 11(1) of the CMV Rules
DHARAVI Mumbai,MH,400017 ,1989.
*The holder of the licence has exempted from the medical test under
Temp. Add : DHARAVI KUMABHAR WADA 2ND WADI rule 6 and from the Preliminary test under rule11(2)of the Central Motor
SAHEBCHI CHAWL 90 FEET ROAD
DHARAVI Mumbai,MH,400017
Vehicle Rules,1989

D.O.B. : 07-04-1999 B.G. : AB+


Identification Marks :
Application No: 2060934223
(Sign/Thumb Of Holder) Licence Authority

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