FORM 3

[(See rule 3 (a) (13))]

LEARNER’S LICENCE

Licence No. ____________

Dated _________________
Seal of the licensing Authority

Name
_______________________________________________________________
Son / Wife / Daughter of ___________________________________________
Date of Birth ____________________________________________________
Present Address Permanent ________________________________________
_______________________________________________________________
Marks of Identification (1) ____________________________________
(2) ____________________________________
is Licensed to drive through out India as a learner subject to the provision of Rule
3 of the Central Motor Vehicle Rule 1989, a motor vehicle of the following
Description ________________________________________________
The holder of the licence has passed the Medical Test under Rule 5 and
the preliminary test referred to rule 11 (1) of the Central Motor Vehicle Rule
1989.

This licence is valid from _______________________ to ___________________

Signature & Designation of the

Licensing Authority
Strike out whichever portion is inapplicable.
WARNING :
The attention of the holder of this licence is drawn to the Rule 3 of Central Motor
Vehicle Rule, 1989 which prohibits from driving any Motor Vehicle unless he has
besipes him a person duly licenced to drive the vehicles and in every case, the
vehicle carries “L” plates both in the front and the rear part of the vehicle.
PROCEDURE
1. 4 Photos
2. Residence Proof
3. Date of Birth’s Proof
4. Medical Proof