FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.550.0/- /ES/7596084 etc /26-01-2025 ApplNo: 4746734823
1. Licence No. KA22 /0004327/2025
AMOGH GANESH MALALIKAR
2. Name
3. Father's Name GANESH
4. Date of Birth 12-10-2005
Optional/Blood A1+
5.
Group-RH Factor
299/10 NEW Goodshed Road Belgaum
6. Present Address Belgaum Hukeri Belgaum Karnataka,590001
Holder's Signature
7. Permanent Address 299/10 NEW Goodshed Road Belgaum
Belgaum Hukeri Belgaum Karnataka,590001
8. Marks of Identification (1)
(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 from31/01/2025 To 30/07/2025
Licensing Authority
Warning: RTO,BELAGAVI
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.550.0/- /ES/7596084 etc /26-01-2025 ApplNo: 4746734823
1. Licence No. KA22 /0004326/2025
AMOGH GANESH MALALIKAR
2. Name
3. Father's Name GANESH
4. Date of Birth 12-10-2005
Optional/Blood A1+
5.
Group-RH Factor
299/10 NEW Goodshed Road Belgaum
6. Present Address Belgaum Hukeri Belgaum Karnataka,590001
Holder's Signature
7. Permanent Address 299/10 NEW Goodshed Road Belgaum
Belgaum Hukeri Belgaum Karnataka,590001
8. Marks of Identification (1)
(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 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 from31/01/2025 To 30/07/2025
Licensing Authority
Warning: RTO,BELAGAVI
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.550.0/- /ES/7596084 etc /26-01-2025 ApplNo: 4746734823
1. Licence No. KA22 /0004325/2025
AMOGH GANESH MALALIKAR
2. Name
3. Father's Name GANESH
4. Date of Birth 12-10-2005
Optional/Blood A1+
5.
Group-RH Factor
299/10 NEW Goodshed Road Belgaum
6. Present Address Belgaum Hukeri Belgaum Karnataka,590001
Holder's Signature
7. Permanent Address 299/10 NEW Goodshed Road Belgaum
Belgaum Hukeri Belgaum Karnataka,590001
8. Marks of Identification (1)
(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 from31/01/2025 To 30/07/2025
Licensing Authority
Warning: RTO,BELAGAVI
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
