Form 2 - Form Of Application For The Grant Or Renewal Of Learner'S Licence Page 3

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Declaration under sub-section (2) of section 7 of the Motor Vehicle Act. 1988.
Shri/Kumari ................ son/daughter of ................ who is a minor under my care and I accept
responsibility for his/her driving If at a late date I decide not to accept responsibility for his/her
driving shall intimate the licensing authority in writing for a cancellation I give my consent for
his/her obtaining learner’ s Licence.
Signature ......… .................
Name & Full address of the
Parent/guardian..................
Relationship....… ...............
(To be signed in the presence of the Licensing Authority or person authorised in this behalf by the
Licensing Authority)
FOR OFFICE USE ONLY
The applicant is exempted from the medical test under rule 6 and the preliminary test under rule
11 (2) of the Central Motor Vehicle Rules, 1989.
Learner's Licence may be issued.
The applicant was tested with reference to rule 11 (1) of the Central Motor Vehicle Rules,
1989 he/she has passe I the test. Learner's Licence may be issued.
he/she has failed in the test. (Reasons should be specified)
Learner's Licence may be refused.
Signature of Licensing Authority or
Other Person authorised in this behalf.

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