Prity Singh
Prity Singh
Prity Singh
ASST.RTO, BALLIA
FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.350.0/- /UPX/2917477 /18-07-2024 ApplNo: 2643892024 Issue Dt. 19-07-2024
5. Optional/Blood Group- A+
RH Factor
6. Present Address Bhujaini Farhada Urf Pura Belthara Road Ballia Uttar
Prade,221716
Holder's Signature
7. Permanent Address Bhujaini Farhada Urf Pura Belthara Road Ballia Uttar
Prade,221716
(2)
is licenced to drive a Motor Vehicles of the following description through out India and in case of E-
rickshaw or E-cart, in specified areas or routes, as a learner,subject to the provisions of Rule 3 of
the Centeral Motor Vehicle Rules 1989:
*The holder of the licence has passed the preliminary test referred to in rule 11(1) of the CMV
Rules ,1989.
*The holder of the licence is exempted from the medical test under rule 6 and from the
Preliminary test under rule11(2)of the Central Motor Vehicle Rules,1989
*Strike off which ever is inapplicable
This Licence is valid from 19/07/2024 To 18/01/2025