Learner's Licence

1. Name:

2. Son/wife/daughter of:

3. Date of birth:

4. Optional:

5. Address:

6. Mark(s) of identification:

Space for Passport size photograph

Specimen signature/thumb impression of the holder of the licence

is licenced to drive a motor vehicle of the following description throughout India and, in case of E-rickshaw or E-cart, as a learner, subject to the provisions of rule 3 of the Central Motor Vehicles Rules, 1989:

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 under rule 6 and from preliminary test under rule 11(2) of the Central Motor Vehicles Rules, 1989.

This licence is valid from to