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    93b8f575-7b31-458d-8d64-d07c189feb5b

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    93b8f575-7b31-458d-8d64-d07c189feb5b

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    93b8f575-7b31-458d-8d64-d07c189feb5b

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    of 1

    FORM 3

    [See Rule 3(a) and 13]


    LEARNER'S LICENCE

    Fee Details Rs.155.6/- /CGU/497346 /26-10-2021 ApplNo: 3720814421

    1. Licence No. CG10 /0018610/2021

    2. Name NIKHIL VERMA

    3. Father's Name DEVENDRA VERMA

    4. Date of Birth 04-12-2002

    5. Optional/Blood Group- O+
    RH Factor

    6. Present Address BESIDE KAMLA GYAN SCHOOL


    YADUNANDAN NAGAR Tifra (NP)
    Bilaspur,CG,495001 Holder's Signature

    7. Permanent BESIDE KAMLA GYAN SCHOOL


    YADUNANDAN NAGAR Tifra (NP)
    Bilaspur,CG,495001
    (1) MOLE IN HAND
    8. Marks of Identification
    (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

    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 27/10/2021 To 26/04/2022

    Licensing Authority
    Warning: RTO,BILASPUR
    (CHHATTISGARH)
    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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