1554098572188_1554098571881_learnerlicense.pdf

LEARNER'S LICENCE

Form 3 [See Rules 3(a),13]

1. 2. 3.

Licence No.

OD02K/0002044/2019

Issue Dt. Fee Details: Name

20-03-2019 Rs.200.0/- /ODS/13851 /18-03-2019 GULAM M M KHAN SAFIRULA KHAN

Father's Name Date of Birth

24-04-1997

4. 5.

Blood Group Present Address

A+ KUSUMIPATNA Sanrautapada Tangi,Khordha,OD,752021

6.

Permanent Address

KUSUMIPATNA Sanrautapada Tangi,Khordha,OD,752021

7.

Marks of Identification

(1) (2)

Specimen Signature/Thumb impression of Qualifications Diploma in any Discipline the holder of the 8. 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 *The holder of the licence has exempted from the medical test under

MCWG, ................................................................................................................................. *The holder of the licence has passed the Preliminary test under rule11(1)of the Central Motor Vehicle Rules,1989 *Strike off which ever is inapplicable This Licence is valid from

20/03/2019

To

19/09/2019

Licensing Authority Warning: ASST.RTO,KHURDA 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.