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FORM 3

[See Rule 3(a) and 13]


LEARNER'S LICENCE

Fee Details Rs.150.0/- /GJW/894886 /25-05-2023 ApplNo: 1884482523

1. Licence No. GJ06 /0020931/2023

2. Name SHIVAM SOMANI

3. Father's Name RAJESH SOMANI

4. Date of Birth 29-03-2003

5. Optional/Blood O+
Group-RH Factor

6. Present Address MAHADEV FALIYU Sokhda


Vadodara,GJ,391745
Holder's Signature

7. Permanent MAHADEV FALIYU Sokhda


Vadodara,GJ,391745

(1)
8. Marks of Identification
(2)

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

LMV,
.......................................................................................................................................

This Licence is valid 29/05/2023 To 28/11/2023

Licensing Authority
Warning: RTO,VADODARA

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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