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Application Passenger Transport Licence Code

UNCLASSIFIED SENSITIVE: PERSONALPage 1 of 2 Application for a Passenger Transport Licence Code for NSW Driver Licence Holders Catalogue No. 45072066 Form No. 1844 (03/2021) Family nameResidential address (must be in NSW)Customer name(s)Mailing detailsHave you ever been disqualified, prohibited or refused from driving a motor vehicle or riding a motorcycle in NSW or elsewhere?Date of birthMobile number Email addressDayMonthYearNoYes//(If different from your residential address) lensesYesNoWill you be wearing glasses or contact lenses when driving? are they?NoYesDo you regularly use drugs (such as stimulants or drugs of addiction) other than prescription medication, which may affect your driving?Please note: If you answer Yes to any question from 4 to 10 you may be required to provide a completed Transport for NSW medical form.

passenger transport authorities whether or not in NSW. Declaration. You declare that the information on this form is true and complete. Under road transport legislation it is an offence for anyone to attempt to obtain or renew a driver licence by false statement or dishonest means. ...

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