Off-peak hours - intensive driving course application form
Training to be completed between Monday - Friday 8am to 5pm
Name as appears on driving licence
*
Mr.
Miss
Mrs
Ms
Dr
Prefix
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
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Date of theory test booking (if applicable)
-
Day
-
Month
Year
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Would you like help booking your driving test?
*
Yes - We will help you to book a driving test 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
*
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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
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Deposit for Intensive course
£220.00
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220.00
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Total
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£
0.00
Payment Methods
Debit or Credit Card
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