FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.350.0/- /HEM50/27684 /27-10-2021 ApplNo: 3636790421
1. Licence No. KA50 /0027965/2021
2. Name JYOTSNA P
3. Father's Name P RAMA KRISHN A
4. Date of Birth 26-03-2003
5. Optional/Blood Group- Unknown
RH Factor
6. Present Address 101 GF THRIBHUVANA PARK VIEW
APARTMENT D B SANDRA'S
VIDYARANYAPURA Bangalore Holder's Signature
North,Bangalore,KA,560097
7. Permanent 101 GF THRIBHUVANA PARK VIEW
APARTMENT D B SANDRA'S
VIDYARANYAPURA Bangalore
North,Bangalore,KA,560097
(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,
.......................................................................................................................................
*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 06/11/2021 To 05/05/2022
Licensing Authority
Warning: RTO,YELAHANKA
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.
NOTE:This is computer generated document. It does not require any authentication
FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.350.0/- /HEM50/27684 /27-10-2021 ApplNo: 3636790421
1. Licence No. KA50 /0027964/2021
2. Name JYOTSNA P
3. Father's Name P RAMA KRISHN A
4. Date of Birth 26-03-2003
5. Optional/Blood Group- Unknown
RH Factor
6. Present Address 101 GF THRIBHUVANA PARK VIEW
APARTMENT D B SANDRA'S
VIDYARANYAPURA Bangalore Holder's Signature
North,Bangalore,KA,560097
7. Permanent 101 GF THRIBHUVANA PARK VIEW
APARTMENT D B SANDRA'S
VIDYARANYAPURA Bangalore
North,Bangalore,KA,560097
(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
Motor cycle without 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 06/11/2021 To 05/05/2022
Licensing Authority
Warning: RTO,YELAHANKA
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.
NOTE:This is computer generated document. It does not require any authentication
