RTA,LUDHIANA

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

Licence No. PB10 /0008684/2023 Appl No. 11263923

Issue Date: 01-03-2023
Fee Details: Rs.570.0/- /PBW/256590 etc /26-02-2023
1. Applicant Name DHARAM SINGH

2. Father's Name UJJAGAR SINGH

3. Date of Birth 23-10-1999

Optional/Blood Group
4. A+
-RH Factor
Spicemen signature/ thumb
5. Present Address Dolon Kalan (288) Dolon Kalan Ludhiana impression of the holder Licence
Punjab,142029

6. Permanent Address Dolon Kalan Ludhiana Punjab,142029

7. Marks of Identification (1) ON RIGHT FOOT

(2)

ITI/Certificate Course
8. Qualifications

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 with Gear(Non Transport), LIGHT MOTOR VEHICLE,

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

*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 01/03/2023 To 31/08/2023
“Aadhaar Authenticated no signature required”.

Licensing Authority
Warning: RTA,LUDHIANA
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.