Transcription of Driver Licence Application/Renewal
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Driver Licence Application/Renewal
Are you eligible for a Queensland (Qld) Driver Licence ?To be eligible for a Driver Licence in Qld you must: prove your identity using original documents be a resident of Qld disclose medical conditions that may adversely affect your ability todrive are not eligible to make this application if your Licence is suspended or you are disqualified from driving in any Australian state or territory or any other information you provide in this document must be true and correct otherwise the Licence granted to you will be void and you may be prosecuted for providing false or misleading your Application/Renewal is approved, your Licence will be mailed to you. This may take up to 2 weeks. You will receive a Driver Licence Receipt today which will allow you to drive until you receive your PRINT clearly in dark pen (do not use pencil or erasable ink)1. Personal detailsFamily nameGiven name/sDate of birth/ / dd mm yyTown, state and country of birthResidential addressPostcodePostal address (if same as residential address, write as above )PostcodeDaytime contact phone numberEmail address2.
completed by your treating doctor. 8.Traffic history: Have you currently, or within the last 5 years, had your licence : cancelled or been disqualified from driving or obtaining a driver licence by an Australian or overseas court? Provide details below: a. State/territory/country Duration:
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