FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.380.0/- /TNV/2799133 /29-10-
2022
1. Licence No. TN37 /0008141/2022
2. Name SHRIHARI BALRAJ
3. Father's Name BALRAJ
4. Date of Birth 20-03-2004
Optional/Blood Group-
5. RH Factor O+
- GANDI NAGAR Coimbatore South
6. Present Address Coimbatore Tamil Nadu,641201 Holder's Signature
- GANDI NAGAR Coimbatore South
7. Permanent Coimbatore Tamil Nadu,641201
8. Marks of Identification (1) MOLE ON RIGHT LITTLE FINGER
(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
MCWG, LMV,
.......................................................................................................................................
*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 has exempted 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 date 31/10/2022 To 30/04/2023
RTO, COIMBATORE (SOUTH)
This LL Certificate is generated using contactless Aadhaar authenticated service. Hence Signature not required.
Warning:
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.
If any false information/discrepancies found at later stage, necessary criminal action will be taken against the applicant.
LLR Approved Date: 31-10-2022 10:04
