FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.300.0/- /ASX/574111 /20-06-2024 ApplNo: 2241505224
1. Licence No. AS24 /0003659/2024
2. Name ROMA KANTO ROBIDAS
3. Guardian Name LOKHON RABIDAS
4. Date of Birth 27-08-1998
5. Optional/Blood Unknown
Group-RH Factor
6. Present Address VILL-CHANDIPUR T.E Chandipur Pt IV
Chandipur Pt IV Hailakandi Assam,788150
Holder's Signature
7. Permanent Address VILL-CHANDIPUR T.E Chandipur Pt IV
Hailakandi Assam,788150
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, 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 from 25/07/2024 To 24/01/2025
Licensing Authority
Warning: DTO,HAILAKANDI
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.