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. : MH31 /0053981/2023 DOI: 06-11-2023 vehicle of the following description
Name : MIHIR MUKLAN NANDAGAWALI ....................................................................
MCWG,
Father's Name MUKLAN LAHANU NANDAGAWALI This Licence is valid from 06/11/2023 to 05/05/2024
Address : ADARSH NAGAR, KHADGAON *The holder of the licence has passed the medical test under rule 5 and
ROAD,WL WADI NEAR SUTHAR KIRANA from the preliminary test referred to in rule 11(1) of the CMV Rules
STORES ,440023 ,1989.
*The holder of the licence has exempted from the medical test under
Temp. Add : ADARSH NAGAR, KHADGAON rule 6 and from the Preliminary test under rule11(2)of the Central Motor
ROAD,WL WADI NEAR SUTHAR KIRANA
STORES ,440023
Vehicle Rules,1989

D.O.B. : 02-11-2005 B.G. : O+

Identification Marks :
SCAR ON LEFT FOREARM Application No: 4198001523
SCAR ON UPPER LIP (Sign/Thumb Of Holder) Licence Authority