FORM3 [See Rule 3(a) and 13] LEARNER'S LICENCE Fee Details Rs.240.0/- WBV/923373 103-12-2022 AppiNo: 4683686722 1. Licence No. WBS 10048787/2022 2. Name UTKARSH RANJAN 3. Guardian Name ‘SANJIV RANJAN 4, Date of Birth 11-09-2001 5, OptionaliBlood Group- as RH Factor 6. Present Address SUGAM HABITAT T6 FLGA1 158A PICNIC UtKarsh RanJan Ik . GARDEN 39 BUS STAND Kolkata South Holder's Signature 24 Parganas West Bengal,700039 'SUGAM HABITAT T6 FLGA1 158A PICNIC GARDEN 39 BUS STAND Kolkata South 24 Parganas West Bengal, 700039 (1) SCAR ON STOMACH (2) 7, Permanent Marks of Identification is licenced to drive throughout India as a learner subject to the provisions of rule 3 of the Central Motor Vehicles Rules 1989, a motor vehicle of the following description LIGHT MOTOR VEHICLE, “The holder of the licence has passed the preliminary test referred to in rule 14(1) of the CMV Rules ,1989. “The holder of the licence is exempted from the medical test under rule-6 and from the Preliminary test under rule11(2)of the Central Motor Vehicle Rules,1989 *Strike off which ever is inapplicable This Licence is valid 19/12/2022 To 18/06/2023 ‘Warning: Ueeneing eon 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 avery ease. the vehicle carrias "I" nlates hath in frant and in the rear af the vehicle