Form 3 [see Rule 3(a),13] is licenced to drive throughout India as a learner subject to the
LEARNER LICENCE provisions of rule 3 of the Central Motor Vehicles Rules 1989, a motor
LL No. : MH20 /0074389/2024 DOI: 11-10-2024 vehicle of the following description
Name : MANGESH SAMBHAJI ....................................................................
MCWG,
Father's Name POPALGHAT
SAMBHAJI POPALGHAT This Licence is valid from 11/10/2024 to 10/04/2025
Address : AT.PO.BHARAJ BK.TA.JAFRABAD *The holder of the licence has passed the medical test under rule 5 and
Bharaj Bharaj Bk. Jalna from the preliminary test referred to in rule 11(1) of the CMV Rules
Maharashtra,431206 ,1989.
*The holder of the licence has exempted from the medical test under
Temp. Add : AT.PO.BHARAJ BK.TA.JAFRABAD rule 6 and from the Preliminary test under rule11(2)of the Central Motor
Bharaj Bharaj Bk. Jalna
Maharashtra,431206
Vehicle Rules,1989
D.O.B. : 12-08-1999 B.G. : Unknown
Identification Marks :
Application No: 3786190224
(Sign/Thumb Of Holder) Licence Authority
Form 3 [see Rule 3(a),13] is licenced to drive throughout India as a learner subject to the
LEARNER LICENCE provisions of rule 3 of the Central Motor Vehicles Rules 1989, a motor
LL No. : MH20 /0074388/2024 DOI: 11-10-2024 vehicle of the following description
Name : MANGESH SAMBHAJI ....................................................................
LMV,
Father's Name POPALGHAT
SAMBHAJI POPALGHAT This Licence is valid from 11/10/2024 to 10/04/2025
Address : AT.PO.BHARAJ BK.TA.JAFRABAD *The holder of the licence has passed the medical test under rule 5 and
Bharaj Bharaj Bk. Jalna from the preliminary test referred to in rule 11(1) of the CMV Rules
Maharashtra,431206 ,1989.
*The holder of the licence has exempted from the medical test under
Temp. Add : AT.PO.BHARAJ BK.TA.JAFRABAD rule 6 and from the Preliminary test under rule11(2)of the Central Motor
Bharaj Bharaj Bk. Jalna
Maharashtra,431206
Vehicle Rules,1989
D.O.B. : 12-08-1999 B.G. : Unknown
Identification Marks :
Application No: 3786190224
(Sign/Thumb Of Holder) Licence Authority
