Transcription of APPLICATION FOR INITIAL IDENTIFICATION CARD
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APPLICATION FOR INITIAL IDENTIFICATION CARD
DL-54A (6-18). APPLICATION FOR INITIAL IDENTIFICATION card Bureau of Driver Licensing Box 68272 Harrisburg, PA 17106-8272. ALL SECTIONS MUST BE COMPLETED. A LAST NAME FIRST NAME MIDDLE NAME. DATE OF BIRTH HEIGHT SOCIAL SECURITY NUMBER OR DRIVER'S LICENSE NUMBER SEX Telephone Number (8:00 to 4:30 ). MONTH DAY YEAR FEET INCHES. EYE COLOR (please check one): BLUE BROWN GREEN HAZEL PINK BLACK GRAY DICHROMATIC OTHER _____. CURRENT STREET ADDRESS - A Post Office Box number may be used in addition to the actual residence address, but cannot be used as the only address. PA. CITY STATE ZIP CODE.
signature of examiner date badge no. exam center last name. first name middle name. date of birth sex. inches. jr./etc. height social security number or driver's license number
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