FORM 3

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(See rule 3(a) & 13)

Learner’s Licence

                                                                                                          Space for photograph of the

                                                                                                          Size five centimeter by six

                                                                                                          Centimeter.

Licence No…………….Date………………….                                 Name to be written across the

                                                                                                           photograph      

Specimen signature/Thumb impressionof the holder of the licence.

Signature & seal of the Licencing

Authority.

1.                   Name

2.                   Son/Wife/Daughter of

3.                   Date of Birth

4.                   Blood group & RH factor

5.                   Present address-Permanent,

Temporary/official(if any)

6.                   Mark(s) of indentification

                                                                        (1)

                                                                        (2)                                            

is licenced to drive throughout India as a learner subject to the provision of rule 3 of the Central Motor Vehicles Rules,1989, a motor vehicle of the following descriptions:

            The holder of the licence has passed the medical test under rule 5 and the preliminary test referred to in rule 11(1) of the Central Motor Vehicles Rule,1989.

            The holder of the licence is exempted from the medical test under rule 6 and from preliminary test under rule 11(2) of the Central motor Vehicles Rules,1989.

            This licence is valid from …………………. To …………………..

*Strike out whichever is inapplicable.

                                                                        Signature & designation of

                                                                        The Licencing Authority.

Warning :-

            The attention of the holder of this licence is drawn to rule 3 of Central Motor Vehicles Rules,1989 which prohibits him from driving any motor vehicles unless he has besides him a person dully licenced to drive the vehicle and in every case, the vehicle carries “L” plates both in the front and in the rear of the vehicle.

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