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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. : MH46 /0017805/2024 DOI: 25-04-2024 vehicle of the following description
Name : PREM JYOTIRAM KSHIRSAGAR ....................................................................
LMV,
Father's Name JYOTIRAM KSHIRSAGAR This Licence is valid from 25/04/2024 to 24/10/2024
Address : Near sonar maharaj mandir Tehsil-Barshi *The holder of the licence has passed the medical test under rule 5 and
Mungshi (va) Solapur Maharashtra,413412 from the preliminary test referred to in rule 11(1) of the CMV Rules
,1989.
*The holder of the licence has exempted from the medical test under
Temp. Add : Near sonar maharaj mandir Tehsil-Barshi rule 6 and from the Preliminary test under rule11(2)of the Central Motor
Mungshi (va) Solapur Maharashtra,413412
Vehicle Rules,1989

D.O.B. : 20-07-2005 B.G. : Unknown


Identification Marks :
Application No: 1438194224
(Sign/Thumb Of Holder) Licence Authority
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. : MH46 /0017804/2024 DOI: 25-04-2024 vehicle of the following description
Name : PREM JYOTIRAM KSHIRSAGAR ....................................................................
MCWG,
Father's Name JYOTIRAM KSHIRSAGAR This Licence is valid from 25/04/2024 to 24/10/2024
Address : Near sonar maharaj mandir Tehsil-Barshi *The holder of the licence has passed the medical test under rule 5 and
Mungshi (va) Solapur Maharashtra,413412 from the preliminary test referred to in rule 11(1) of the CMV Rules
,1989.
*The holder of the licence has exempted from the medical test under
Temp. Add : Near sonar maharaj mandir Tehsil-Barshi rule 6 and from the Preliminary test under rule11(2)of the Central Motor
Mungshi (va) Solapur Maharashtra,413412
Vehicle Rules,1989

D.O.B. : 20-07-2005 B.G. : Unknown


Identification Marks :
Application No: 1438194224
(Sign/Thumb Of Holder) Licence Authority

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