Intensive driving course application form
Name as appears on driving licence
*
First Name
Last Name
Address
*
House No. & Street name
Area / Town
City / County
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 (Book theory test and let us know the date below)
Date theory test expires (if applicable)
-
Day
-
Month
Year
Date Picker Icon
Assessing Instructor (if applicable)
Manual or Automatic car
*
Manual car
Automatic car
Which Intensive course
*
10 hours Intensive course
16 hours Intensive course
20 hours Intensive course
26 hours Intensive course
34 hours Intensive course
42 hours Intensive course
Your availability off peak / peak hours
*
Off peak hours - weekday 8am to 5pm
Peak hours - evening from 5pm and weekends
See intensive course price for off peak hours : Mon -Fri 8am - 5pm & Peak hours: Mon - Fri 5pm to 8pm & weekends
Additional Information
Deposit required
*
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Intensive course deposit
£
150.00
GBP
Total
£
0.00
GBP
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