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SDM,MALOUT

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

Licence No. PB53 /0004027/2024 Appl No.2850825824

Issue Date: 23-08-2024


Fee Details: Rs.520.0/- /PBX/1029355 etc /05-08-
2024
JAGDEEP SINGH
1. Applicant Name

2. Father's Name KEWAL SINGH

3. Date of Birth 28-03-2002


Optional/Blood
4. Group-RH Factor AB+

Spicemen signature/ thumb


5. Present Address Channu (31) Malout,Sri Muktsar impression of the holder Licence
Sah,PB,152101

6. Permanent Address Channu (31) Malout,Sri Muktsar


Sah,PB,152101

7. Marks of Identification (1) BIG SCAR ON LEFT FOOT


(2) SCAR ON RIGHT ARM

8. Qualifications 10+2 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

LIGHT MOTOR VEHICLE, Motor Cycle with Gear(Non Transport),


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

*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 23/08/2024 To 22/02/2025

Licensing Authority
Warning: SDM,MALOUT
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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