FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.850.0/- /ASX/160542 /17-02-2024 ApplNo: 614268424
1. Licence No. AS25 /0005065/2024
2. Name PANKAJ SAIKIA
3. Guardian Name SOMESWAR SAIKIA
4. Date of Birth 21-02-1985
5. Optional/Blood A+
Group-RH Factor
6. Present Address CHAKARDHARA Furkating Forkating
Golaghat Golaghat Assam,785610
Holder's Signature
7. Permanent CHAKARDHARA Furkating Forkating
Golaghat Golaghat Assam,785610
(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
Motor Cycle with Gear(Non Transport), 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 17/02/2024 To 16/08/2024
Licensing Authority
Warning: DTO, KAMRUP RURAL
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.