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Asst - Rto, Firozabad Transport Department: Form 3 (See Rule 3 (A) and 13)

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0% found this document useful (0 votes)
25 views1 page

Asst - Rto, Firozabad Transport Department: Form 3 (See Rule 3 (A) and 13)

Nice book

Uploaded by

himef82542
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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TRANSPORT DEPARTMENT

ASST.RTO, FIROZABAD
FORM 3
[See Rule 3(a) and 13]

LEARNER'S LICENCE
Fee Details Rs.350.0/- /UPX/3590049 /04-09-2024 ApplNo: 3274404724 Issue Dt. 15-09-2024

1. Licence No. UP83 /0021387/2024

2. Name ANJU GUPTA

3. Guardian Name AJAY KUMAR GUPTA

4. Date of Birth 05-01-1994

5. Optional/Blood Group- Unknown


RH Factor

6. Present Address 172 Gali No 1 Dev Nagar Firozabad Firozabad Firozabad


Uttar Pradesh,283203
Holder's Signature
7. Permanent Address 172 Gali No 1 Dev Nagar Firozabad Firozabad Firozabad Uttar
Pradesh,283203

8. Marks of Identification (1) SPOT OFF DOWN LIP

(2) CUT OF LEFT HAND


is licenced to drive a Motor Vehicles of the following description through out India and in case of E-
rickshaw or E-cart, in specified areas or routes, as a learner,subject to the provisions of Rule 3 of
the Centeral Motor Vehicle Rules 1989:

Motor cycle without 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 from 15/09/2024 To 14/03/2025

Signature and Designation of


the Licensing Authority
Warning: ASST.RTO, FIROZABAD
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: This is a computer generated Document. No signature is required.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.

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