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FORM 3

[See Rule 3(a) and 13]


LEARNER'S LICENCE

Fee Details Rs.150.0/- /GJW/2273479 /20-11-2023 ApplNo: 4028727423

1. Licence No. GJ27 /0050196/2023

2. Name SHAILESH A PARMAR

3. Father's Name AMBALAL

4. Date of Birth 07-09-1979

5. Optional/Blood O+
Group-RH Factor

6. Present Address 363/1920 G H BORD BAPUNAGAR


AHMEDABAD
CITY,AHMEDABAD,GJ,380024 Holder's Signature

7. Permanent 363/1920 G H BORD BAPUNAGAR


AHMEDABAD
CITY,AHMEDABAD,GJ,380024
(1)
8. Marks of Identification
(2)

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

MCWG,
.......................................................................................................................................

This Licence is valid 20/11/2023 To 19/05/2024

Licensing Authority
Warning: ASST.RTO,AHMEDABAD(EAST)

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.

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