FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.350.0/- /ASU/595732 /23-10-2021 ApplNo: 3683428421
1. Licence No. AS07 /0008209/2021
2. Name PARTHIB PRITOM BORAH
3. Guardian Name BASANTA BORAH
4. Date of Birth 05-01-2003
5. Optional/Blood Group- O+
RH Factor
6. Present Address CHETIA GOAN , WARD NO-5, NORTH
LAKHIMPUR, ASSAM ASSAM,787001
Holder's Signature
7. Permanent WARD NO 5 CHETIA GAON North
Lakhimpur Lakhimpur Assam,787001
(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 25/11/2021 To 24/05/2022
Licensing Authority
Warning: DTO,LAKHIMPUR
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.