Assistant Central

FORM *

[See Rule *(a) and **]

LEARNER'S LICENCE

1. Licence No.

2.

3.

4.

5.

6.

7.

8.

Name

Date of Birth

Optional/Blood Group-

RH Factor

Present Address

Permanent

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 Holder's Signature

*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 has exempted the medical test under rule 6 and from the Preliminary test under rule11(2)of the Central Motor Vehicle Rules,1989 This Licence is valid from To

*Strike off which ever is inapplicable

Fee Details

Assistant Licensing Authority

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. Warning:

MANIKANDAN S

17-12-1991

SUGANYA R

Oh+

MCWOG,

Rs.230.0/- /TNU/270173 /26-01-2021

TN64 /0000914/2021

19/25, RAJA STREET, GANAPATHI NAGAR,

VILLABURAM Avaniapuram (M) Madurai

South,Madurai,TN,625012

Husband Name

29/01/2021 28/07/2021

19/25, RAJA STREET, GANAPATHI NAGAR,

VILLABURAM Avaniapuram (M) Madurai

South,Madurai,TN,625012

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