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TRANSPORT DEPARTMENT Uttar Pradesh

ASST.RTO, UNNAO
FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE

Fee Details Rs.350.0/- /UPH/1615191 /14-08-2018 ApplNo: 1966835718 Issue Dt. 20-12-2018

1. Licence No. UP35 /0015579/2018

2. Name NISPAKSH AWSTHI

3. Father's Name ARVIND AWASTHI

4. Date of Birth 26-10-1999

5. Optional/Blood Group- Unknown


RH Factor

6. Present Address KABBA KHEDA Unnao,UP,209801


Holder's Signature

7. Permanent KABBA KHEDA Unnao,UP,209801

(1)
8. Marks of Identification
(2)
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:
LMV-NT, Motor Cycle with Gear(Non Transport),
.......................................................................................................................................

*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 20/12/2018 To 19/06/2019

Signature and Designation of


the Licensing Authority
Warning: ASST.RTO, UNNAO

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.

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