Learner'S Licence PB70 /0002589/2024: SDM, Dera Bassi

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SDM,DERA BASSI

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

Licence No. PB70 /0002589/2024 Appl No.1749994124

Issue Date: 15-05-2024


Fee Details: Rs.520.0/- /PBX/475261 /14-05-2024
1. Applicant Name RENU SHARMA

2. Father's Name SAVEET SHARMA

3. Date of Birth 11-11-1993


Optional/Blood
4. Group-RH Factor A-

Spicemen signature/ thumb


5. Present Address FLAT NO 586 3RD FLOOR BLOCK D-5 impression of the holder Licence
PENTA HOMES VIP ROAD ZIRAKPUR TEH
DERA BASSI, SAS NAGAR MOHALI
PUNJAB,140603

6. Permanent Address FLAT NO 586 3RD FLOOR BLOCK D-5


PENTA HOMES VIP ROAD ZIRAKPUR TEH
DERA BASSI, SAS NAGAR MOHALI
PUNJAB, 140603
7. Marks of Identification (1)
(2)

8. Qualifications 12th Standard or Equivalent

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 15/05/2024 To 14/11/2024
Aadhaar Authenticated no signature required.

Licensing Authority
Warning: SDM,DERA BASSI
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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