Information Request Form

Taxi Driver Training Registration Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Postal Code
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Driving Licence Number*
DVLA Licence Check Code*
Vehicle Registration*
this is the vehicle you will be using for training
Make and Model of your vehicle*
this is the vehicle you will be using for training
Does your vehicle*

Have current Insurance including for Training and TestHave a current MOTHave current Road Tax
Failing to provide a vehicle which is fully roadworthy and has current MOT, Tax and Insurance will result in the training not taking place and you will be charged the full amount for the training.

The vehicle shoud also be clean inside and out and have no warning lights showing on the dashboard other than those expected such as handbrake when stationary.
Date*

MonthDayYear
Date
Signature - *

Clear
Should be Empty:

Taxi Driver Training Registration Form