FORM 3 LEARNER'S LICENCE [See rule 3 (a), 13] Licence No : ....................................... Date : ....................................... Name to be written across the photograph. Specimen signature/Thumb impression of the holder of the licence. 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 address--Permanent................................................................................. ............................................................................................................................. Temporary/Official (if any)................................................................................. 6. Marks of identification (1) ........................................................................................................................ (2) ........................................................................................................................ is licensed to drive throughout India as a learner subject to the provisions of rule 3 of the Central Motor vehicles 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 in rule 11(1) of the Central Motor Vehicles Rules, 1989. * The holder of the licence is exempted from the medical test rule 6 and from preliminary test under rule 11 (2) of the Central Motor Vehicles Rules, 1989. * Strike out whichever is inapplicable. This licence is valid from_____________________ to ____________________ Signature and designation of the Licensing Authority. Warning. The attention of the holder of this licence is drawn to rule 3 of Central Motor Vehicles Rules, 1989 which prohibits him 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 front and in the rear of the vehicle.