Driving Licence

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DRIVING LICENCE

Form 3
[See Rules 3(a),13]

Licence No. OD02 /0012345/2021


Issue Dt. 13-08-2021
Fee Details: Rs.372.0/- /ODU/608428 /11-08-2021
1. Name NIHAR RANJAN PANIGRAHI
2. Father's Name BUDHIRAM PANIGRAHI
3. Date of Birth 20-11-1989

4. Blood Group B+
5. Present Address Purusottampur (Khaira ) Khaira,Balasore,OD,756048
6. Permanent Address Purusottampur (Khaira ) Khaira,Balasore,OD,756048

7. Marks of Identification (1)BLACK MOLE ON RIGHT PALM


(2)BLACK MOLE ON RIGHT Specimen Signature/Thumb impression of
SHOULDER
8. Qualifications Post Graduate Diploma in any Discipline the holder of the
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
*The holder of the licence has exempted from the medical test under
L
..M
...V..,.M
...C..W
...O..G
..,.............................................................................................................
*The holder of the licence has passed the Preliminary test under rule11(1)of the Central Motor Vehicle Rules,1989
*Strike off which ever is inapplicable
This Licence is valid from 13/08/2021 To 12/08/2031

Licensing Authority

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