Candidate Information Form
Please complete as much information below as you can. We will then be able to create a candidate account on our system.
Title
*
Please Select
Mr
Miss
Mrs
Ms
Dr
Your name (exactly as shown on your licence)
*
First Name
Middle Name
Last Name
Email address
*
example@example.com
Mobile phone Number
*
Always start with 07
Format: 00000 000000.
Driving licence number
*
National Insurance No
Does your licence show your correct current address
*
Yes
No
Enter your address exactly as shown on your licence
*
Enter the new address you would like the DVLA to change your details to. DVLA will change your address when they add the LGV provisional entitlement.
Upload a photo of both sides of your driving licence
Browse Files
Cancel
of
Have you already taken the LGV medical
No
Yes
Were you born in the UK
*
Yes
No
What country were you born in
Do you wear glasses for driving
*
Yes
No
Have you needed to notify the DVLA IN THE LAST 5 years of any illness that affects your driving
*
Yes
No
Additional comments ot information
Submit candidate details
Should be Empty: