TRANSPORT DEPARTMENT
ASST.RTO, GHAZIPUR
FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
Fee Details Rs.350.0/- /UP25Y/3344498 /29-07-2025 ApplNo: 3028183025 Issue Dt. 30-07-2025
1. Licence No. UP61 /0023111/2025
2. Name ANKIT SINGH
3. Father's Name BABLU SINGH
4. Date of Birth 08-06-2002
5. Optional/Blood Group- Unknown
RH Factor
6. Present Address BUDHANPUR JAKHANIA JAKHANIAN ** JAKHANIAN
GHAZIPUR UTTAR PRADESH,275203
Holder's Signature
7. Permanent Address BUDHANPUR JAKHANIA JAKHANIAN ** JAKHANIAN
GHAZIPUR UTTAR PRADESH,275203
8. Marks of Identification (1) NO MARK
(2) NO MARK
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 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 from 30/07/2025 To 29/01/2026
Note: This is an auto approved application and computer generated Document. No signature is required.
Signature and Designation of
the Licensing Authority
Warning: ASST.RTO, GHAZIPUR
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.
Note: This is a computer generated Document. No signature is required.This Learners Licence is issued based on the Information and
declaration submitted by the applicant with regards to his/her physical fitness to drive a Motor Vehicle and liable for cancelation if found
incorrect/ unfit to drive.
