Involving inpatient treatment, or brain tumourĪserious problem with memory or periods of confusion One month, recurrent “mini-strokes” or TIAsĪny type of brain surgery, severe head injury Stroke, with any symptoms lasting longer than Repeated attacks of sudden disabling giddinessĪngina (heart pain) which is easily brought on by driving If you have answered ‘Yes’, please tick all the appropriate boxes. Have you ever had, or do you currently suffer from – miss out part Aand go on to part B of this section. If you have already told us about a medical condition that could affect your fitness to drive – and you have no new medical condition You must fill in either part A or part B or we will send your application back to you. Please register me on the NHS Organ Donor register as someone whose organs can be used for a transplant. I want to donate an organ to help someone else after my death. Revoked under the Road Traffic (New Drivers) Act 1995 See INF1D page 12 – licences from other countries. If ‘Yes’, you must enclose evidence of this (if not shown on your licence). If you passed your test in Canada, was it Remove expired endorsements or suspension details.Įxchange my paper licence for a photocard licence.Įxchange my foreign licence for a British one. I am enclosing my current driving licence.
Replace my licence due to a change of name or address (mobility component) at the higher rate, and want to drive a car If you are 16 and getting Disability Living Allowance ■ You can ask for your licence to start from a later date but this cannot be more than two months after the day you apply. Start date Your licence starts on the day we issue it. (67 feet) or 20 metres (65 feet) where narrowerī Do you need to wear glasses or corrective Yes ■ No ■ Or corrective lenses if necessary) from 20.5 metres Have you lived in another EC or EEAcountry in the last 12 months? No ■ Yes ■Ī Can you read a car number-plate (with glasses If ‘Yes’, write the previous details below. Has your name or address (or both) changed What is your UK driver number (if you know it)? See page 12 of the INF1D for details of where to get this form. If you want to apply for a LGV or PCV licence, you need to fill in a D2 application form. Please use BLOCK CAPITALSand fill in this form in black ink. Landlord (Tenant) Recommendation Letter.
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