Transcription of for NSW Driver Licence Holders
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for NSW Driver Licence Holders
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?
Eyesight test/Medical report (Eyesight test required for licence renewal only) Pass with glasses or contacts Pass without glasses or contacts. Eyesight test given. NSW Photo Card (No application form required) Office Use - BUNDLE A. Eyesight report. Page 2 of 2. Mailing address checked on DRIVES (if applicable) CSR. Signature and Staff number ...
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