TRANSPORT DEPARTMENT Uttar Pradesh
RTO, BAREILLY
FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.350.0/- /UPS/331184 /25-01-2019 ApplNo: 265258819 Issue Dt. 26-03-2019
1. Licence No. UP25 /0011186/2019
2. Name NARENDRA PAL
3. Father's Name JHANJHAN LAL
4. Date of Birth 05-07-1993
5. Optional/Blood Group- Unknown
RH Factor
6. Present Address VILLAGE ANGADPUR KHAMARIYA
BAREILLY Faridpur,Bareilly,UP,243503
Holder's Signature
7. Permanent VILLAGE ANGADPUR KHAMARIYA
BAREILLY Faridpur,Bareilly,UP,243503
(1)
8. Marks of Identification
(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:
Motor Cycle with Gear(Non Transport), LMV-NT,
.......................................................................................................................................
*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 26/03/2019 To 25/09/2019
Signature and Designation of
the Licensing Authority
Warning: RTO, BAREILLY
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.