FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
1356515924
Application No...................................
KL47 /0006605/2024
Learner's Licence No............................... 21-06-2024
Issue Date......................
1. Name : DENIL DAVIS
2. Father's Name DAVIS THOMAS
3. Date of Birth : 17-11-2005
4. Blood Group(Optional) : A+ Spicemen signature/ thumb impression of
the holder of the of the Licence
5. Present Address/ KUNNATHUPARAMBIL HOUSE VENNUR ANNAMANADA P O THRISSUR,KL,680741
Permanent Address :
KUNNATHUPARAMBIL HOUSE VENNUR ANNAMANADA P O THRISSUR,KL,680741
6. Temporary/Official(if any):
7. Marks of Identification : 1. BLACK MOLE ON THE OVER LEFT WRIST
2. BLACK MOLE ON THE RIGHT ELBOW
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
MCWG, LMV,
*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 Rules ,1989.
*The holder of the licence is exempted from medical test under rule 6 and from the
preliminary test under rule 11(2) of the Central Motor Vehicles Rules, 1989.
This Licence is valid from :21/06/2024 To 20/12/2024
* Strike off whichever is inapplicable
Signature of the Licencing authority
Warning: The attention of the holder of this licence is drawn to rule 3 of Central Motor vehicle 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.
DL Test Schedule
Sl.No Class of Vehicle Date and Time Venue