FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.350.0/- /ES/8935067 /20-07-2025 ApplNo: 2890369725
1. Licence No. KA26 /0010688/2025
SAYEDSAMEER TATTI
2. Name
3. Father's Name USMANSAB TATTI
4. Date of Birth 21-04-2002
Optional/Blood O+
5.
Group-RH Factor
#290/A1 SHIVAJI PETE GAJENDRAGAD
6. Present Address GADAG * KARNATAKA,582114
Holder's Signature
7. Permanent Address #290/A1 SHIVAJI PETE GAJENDRAGAD
GADAG * KARNATAKA,582114
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 from21/07/2025 To 20/01/2026
Licensing Authority
Warning: RTO,GADAG
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/8935067 /20-07-2025 ApplNo: 2890369725
1. Licence No. KA26 /0010687/2025
SAYEDSAMEER TATTI
2. Name
3. Father's Name USMANSAB TATTI
4. Date of Birth 21-04-2002
Optional/Blood O+
5.
Group-RH Factor
#290/A1 SHIVAJI PETE GAJENDRAGAD
6. Present Address GADAG * KARNATAKA,582114
Holder's Signature
7. Permanent Address #290/A1 SHIVAJI PETE GAJENDRAGAD
GADAG * KARNATAKA,582114
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 from21/07/2025 To 20/01/2026
Licensing Authority
Warning: RTO,GADAG
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
