TRANSPORT DEPARTMENT Uttar Pradesh

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

Fee Details Rs.350.0/- /UPS/3907613 /17-09-2019 ApplNo: 3056275819 Issue Dt. 24-10-2019

1. Licence No. UP21 /0029781/2019

2. Name ARVIND KUMAR

3. Father's Name HARGYAN SINGH

4. Date of Birth 10-05-1982

5. Optional/Blood Group- A+
RH Factor

6. Present Address VILL SAUDASPUR POST JAHANGIRPUR

Moradabad (M Corp.)
Moradabad,UP,244001 Holder's Signature

7. Permanent VILL SAUDASPUR POST JAHANGIRPUR

Moradabad (M Corp.)
Moradabad,UP,244001
(1) LEFT HAND ON SPOT
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:
LIGHT MOTOR VEHICLE, Motor cycle without 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 24/10/2019 To 23/04/2020

Signature and Designation of

the Licensing Authority
Warning: RTO, MORADABAD

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.