FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.850.0/- /ASX/191434 /23-02-2024 ApplNo: 713709524
1. Licence No. AS31 /0002684/2024
2. Name SUPRIYA DUTTA
3. Guardian Name PRADIP DUTTA
4. Date of Birth 03-08-2001
5. Optional/Blood A+
Group-RH Factor
6. Present Address WARD NO - 9 KRISHNA NAGAR Hojai
Hojai (mb) Hojai Hojai Assam,782435
Holder's Signature
7. Permanent WARD NO - 9 KRISHNA NAGAR Hojai
Hojai (mb) Hojai Hojai Assam,782435
(1)
8. Marks of Identification
(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, 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 23/02/2024 To 22/08/2024
Licensing Authority
Warning: DTO,HOJAI
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.
