FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.574.34/- /MP25Y/475987 /12-04-2025 ApplNo: 1449874325
1. Licence No. MP68 /0001575/2025
2. Name SHIVIR BIRADE
3. Father's Name SHRI VIKAS BIRADE
4. Date of Birth 02-03-2007
5. Optional/Blood Unknown
Group-RH Factor
6. Present Address A-1/689 Bhavani Nagar Nepanagar
Post Office Teh Nepanagar Nepanagar
East Nimar Madhya Pradesh,450221 Holder's Signature
7. Permanent Address A-1/689 Bhavani Nagar Nepanagar
Post Office Teh Nepanagar Nepanagar
East Nimar Madhya Pradesh,450221
(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 without Gear (Non Transport), 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
*Strikeoff which ever is inapplicable
This Licence is valid from 12/04/2025 To 11/10/2025
Licensing Authority
Warning: BURHANPUR DTO
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:
a. This is a computer generated Document. No signature is required.
b. This Learners Licence is issued based on the Information and declaration
submitted by the applicant with regards to his/her physical fitness to drive a Motor
Vehicle and liable for cancelation if found incorrect/ unfit to drive.