FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.350.0/- /ASS/46613 /13-10-2019 ApplNo: 3616026019
1. Licence No. AS11 /0016719/2019
2. Name MOHIDUL ISLAM LASKAR
3. Father's Name ABDUL MANAF LASKAR
4. Date of Birth 25-12-1990
5. Optional/Blood Group- AB+
RH Factor
6. Present Address VILL CHATRAIDAYAL PO KANAKPUR
EAST PS LAKHIPUR,DIST
CACHAR,ASSAM,788107 Holder's Signature
7. Permanent VILL CHATRAIDAYAL PO KANAKPUR
EAST PS LAKHIPUR,DIST
CACHAR,ASSAM,788107
(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
LIGHT MOTOR VEHICLE, Motor Cycle with Gear(Non Transport),
.......................................................................................................................................
*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 11/12/2019 To 10/06/2020
Licensing Authority
Warning: DTO,CACHAR
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.