[See Rule 3 (a)
and 13]
LEARNER’S LICENSE
License
No …………………………. Date………………..
Name
to be written across the photograph
Specimen
signature /thumb impression of the
holder
of the license
Signature and seal of the licensing authority
1. Name .......................................................................................
2. Son/wife/daughter of .......................................................................................
3.Date of birth ........................................................................................
4. (optional) Blood group.............................................................. RH factor ...................................................................................
5.Present/Permanent address
Temporary/official ( if any) ........................................................................................
6.Marks of identification (1) .....................................................................................
(2) .....................................................................................
Is
licensed to drive throughout India as a learner subject t the provisions of
Rule 3 of the Central Motor Vehicles Rules, 1989, a motor vehicle of the
following description:-
……………………………………………………………………………………………………………………………………………………………………………………………………
The holder of the license
has passed the medical test under Rule 5 and the preliminary test referred to
in Rule 11(1) of the Central Motor Vehicle Rules, 1989.
The
holder of the license is exempted from the medical test under Rule 6 and from the
preliminary test under Rule 11(2) of the Central Motor Vehicles Rules. 1989.
This license is valid from………………………………………………
to ………………………………………
*strike out whichever is
applicable.
Signature and designation of
the
Licensing Authority
Warning:-The attention of the holder of this license is drawn to
Rule 3 of the Central Motor Vehicle Rules, 1989, which prohibits from driving
any motor vehicle unless he has besides him a person duly licensed to drive the
vehicle and in every case, the vehicle
carries “L” plates both in the front and in the rear of the vehicle.