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APPLICATION FORM FOR DIGITAL TACHOGRAPH …

Dar s Um Sh bh ilteacht Ar Bh ithreRoad Safety AuthorityTeach Chluain Fearta, Sr id Bhr de, Baile Locha Riach, Co. Gaillimhe Clonfert House, Bride Street, Loughrea, Co. Galwaytelephone: (091) 872600 email: website: - - - - - - - - See page 2 for more information about your APPLICATION and for details of where to send form FORDIGITAL TACHOGRAPH DRIVER CARDUse the checklists below to make sure that your APPLICATION is complete before you return you considered applying for your driver card online? It s quicker and you can save 15. See for full FIRST-TIME APPLICATIONSP lease tick to confirm that your APPLICATION is sections 1, 2, 3, 6, 7 and 8 in BL oCk capitals and in black ink. Remember to sign the Declaration at section 7. oClear photocopy of front and back of valid driving licence, showing higher 60 payment. Enter your credit or debit card details in section 8 of this form .

Údarás Um Shábháilteacht Ar Bhóithre Road Safety Authority Teach Chluain Fearta, Sráid Bhríde, Baile Locha Riach, Co. Gaillimhe • • • •

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