Off-peak hours - intensive driving course application form
Training to be completed between Monday - Friday 8am to 5pm
Name as appears on driving licence
*
First Name
Last Name
Address
*
House No. & Street name
Area
City / County
State / Province
Post Code
Above address is this same as your driving licence?
*
Yes
No
Address that appears on your driving licence
*
Street Address
Area
City
State / Province
Post code
E-mail
*
Phone number
*
Driving licence number
*
e.g BROWN123456TP9DT
Your date of birth
*
Have you pass your theory test
*
Yes
No
Theory Certificate Number
*
Date theory test expires
*
-
Day
-
Month
Year
Date Picker Icon
Date of theory test booking (if applicable)
-
Day
-
Month
Year
Date Picker Icon
Would you like help booking your driving test?
*
Yes - We will arrange a driving test for you at the end of your Intensive course
No - You will need to have a test already booked. Please get in touch with us for our availability before completing this form if the test is less than 6 weeks away, and the test fee will be deducted from the total price
What is the date of the driving
*
Time of the test
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Name of the Driving test centre
*
Assessing Instructor (if applicable)
Manual or Automatic car
*
Manual car
Automatic car
Which Intensive course
*
Please Select
10 hours off-peak Intensive course
16 hours off-peak Intensive course
20 hours off-peak Intensive course
26 hours off-peak Intensive course
34 hours off-peak Intensive course
42 hours off-peak Intensive course
Additional Information
My Products
prev
next
( X )
Deposit for Intensive course
£220.00
£
220.00
Enter coupon
Apply
Total
£0.00
£
0.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: