FORM
3
LEARNER'S
LICENCE
[See
rule 3 (a), 13]
Licence No: _________
Date: _________
Name
to be written across the photograph.
Specimen
Signature/Thumb impression of the holder of the licence.
Signature
and Seal of the Licensing Authority.
1.
Name:
__________________________________________.
2.
Son/wife/daughter
of: ______________________________
3.
Date
of Birth: ___________________________________________.
4.
Optional/Blood
Group--RH Factor]: ____________
5.
Present
address—Permanent: ______________________________.
Temporary/Official
(if any): ______________________________
6.
Marks
of identification:
(1)
____________________________________
(2)
____________________________________
is licensed to drive throughout
India as a learner subject to the provisions of rule 3 of the
Central Motor vehicles Rule,
1989, a motor vehicle of the following description:
* The holder of the licence has
passed the medical test under rule 5 and the preliminary test referred to in
rule 11(1) of the Central Motor Vehicles Rules, 1989.
* The holder of the licence is
exempted from the medical test rule 6 and from preliminary test under rule 11
(2) of the Central Motor Vehicles Rules, 1989.
* Strike out whichever is
inapplicable.
This licence is valid
from_____________________ to ____________________
Signature
and Designation of
the Licensing
Authority.
Warning: The attention of
the holder of this licence is drawn to rule 3 of Central Motor Vehicles Rules, 1989
which prohibits him from driving any motor vehicle unless he has besides him a
person duly licensed 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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