FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.200.0/- /ES/8607645 /14-06-2025 ApplNo: 2181785025
1. Licence No. KA05 /0032821/2025
SIDRAMAPPA
2. Name
3. Father's Name SHARANABASAPPA
4. Date of Birth 14-08-2005
Optional/Blood Unknown
5.
Group-RH Factor
MALKHED MALKHED MALKHED (J) SEDAM
6. Present Address KALABURAGI KARNATAKA,585317
Holder's Signature
7. Permanent Address MALKHED MALKHED MALKHED (J) SEDAM
KALABURAGI KARNATAKA,585317
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 from21/06/2025 To 20/12/2025
Licensing Authority
Warning: RTO BANGALORE (SOUTH), JAYANAGAR
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