TRANSPORT DEPARTMENT Uttar Pradesh

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

Fee Details Rs.350.0/- /UPH/1512286 /05-08-2018 ApplNo: 1856108018 Issue Dt. 10-09-2018

1. Licence No. UP32 /0050110/2018

2. Name AMAN SINGH YADAV

3. Father's Name DILEEP KUMAR YADAV

4. Date of Birth 24-03-1996

5. Optional/Blood Group- Unknown

RH Factor

6. Present Address 00 SULTANPUR ROAD NAI BASTI

SARSAWAN Lucknow,UP,226002
Holder's Signature

7. Permanent 00 SULTANPUR ROAD NAI BASTI

SARSAWAN Lucknow,UP,226002

(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:
Motor Cycle with Gear(Non Transport), LMV-NT,
.......................................................................................................................................

*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 10/09/2018 To 09/03/2019

Signature and Designation of

the Licensing Authority
Warning: RTO, LUCKNOW

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.