TRANSPORT DEPARTMENT
RTO, GORAKHPUR
                                                                           FORM 3
                                                                     [See Rule 3(a) and 13]
                                                                   LEARNER'S LICENCE
  Fee Details Rs.350.0/- /UPX/963374 /04-03-2024                              ApplNo: 830201824                        Issue Dt. 05-03-2024
      1. Licence No.                      UP53 /0015259/2024
      2. Name                             SHYAM BIHARI
      3. Father's Name                    SADALU PASWAN
      4. Date of Birth                    12-05-1988
      5. Optional/Blood Group- Unknown
         RH Factor
      6. Present Address                  uncher girdharpur Bansgaon Girdharpur Uncher Bansgaon
                                          Gorakhpur Uttar Pradesh,273413
                                                                                                                         Holder's Signature
      7. Permanent Address                uncher girdharpur Bansgaon Girdharpur Uncher Bansgaon
                                          Gorakhpur Uttar Pradesh,273413
      8. Marks of Identification            (1) NA
                                            (2) NA
  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:
    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 from                   05/03/2024               To 04/09/2024
                                                                                                       Signature and Designation of
                                                                                                          the Licensing Authority
Warning:                                                                        RTO, GORAKHPUR
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 a computer generated Document. No signature is required.This Learners Licence is issued based on the Information and
declaration submitted by the applicant with regards to his/her physical fitness to drive a Motor Vehicle and liable for cancelation if found
incorrect/ unfit to drive.