FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.350.0/- /ES/7617382 /29-01-2025 ApplNo: 420815225
1. Licence No. KA18 /0002017/2025
PRAJWAL PRASAD M
2. Name
3. Father's Name THILAK PRASAD M R
4. Date of Birth 14-07-2005
Optional/Blood B+
5.
Group-RH Factor
SIRAGUNDA VILEEGE MUGTHIHALLI POST
6. Present Address CHIKKAMAGALURU Chikmagalur,KA,577133
Holder's Signature
7. Permanent Address SIRAGUNDA VILEEGE MUGTHIHALLI POST
CHIKKAMAGALURU Chikmagalur,KA,577133
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 from29/01/2025 To 28/07/2025
Licensing Authority
Warning: RTO,CHICKMAGALUR
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.350.0/- /ES/7617382 /29-01-2025 ApplNo: 420815225
1. Licence No. KA18 /0002016/2025
PRAJWAL PRASAD M
2. Name
3. Father's Name THILAK PRASAD M R
4. Date of Birth 14-07-2005
Optional/Blood B+
5.
Group-RH Factor
SIRAGUNDA VILEEGE MUGTHIHALLI POST
6. Present Address CHIKKAMAGALURU Chikmagalur,KA,577133
Holder's Signature
7. Permanent Address SIRAGUNDA VILEEGE MUGTHIHALLI POST
CHIKKAMAGALURU Chikmagalur,KA,577133
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 from29/01/2025 To 28/07/2025
Licensing Authority
Warning: RTO,CHICKMAGALUR
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