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FORM 3

[See Rule 3(a) and 13]


LEARNER'S LICENCE

Fee Details Rs.150.0/- /GJV/2121809 /09-12-2022 ApplNo: 4605481522

1. Licence No. GJ15 /0001297/2023

2. Name VIRALKUMAR B TANDEL

3. Father's Name BHAGVANDAS TANDEL

4. Date of Birth 24-12-1977

5. Optional/Blood A+
Group-RH Factor

6. Present Address 20/A PANCHDEV HUS SOC


BHAGDAWADA VALSAD BHAGDAWADA
(CT),VALSAD,GJ,396001 Holder's Signature

7. Permanent 20/A PANCHDEV HUS SOC


BHAGDAWADA VALSAD BHAGDAWADA
(CT),VALSAD,GJ,396001
(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 24/01/2023 To 23/07/2023

Licensing Authority
Warning: RTO,VALSAD

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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