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Guam Driver's License Application

guam DRIVER S License Application (See the backside of this Application for instructions and requirements) SIGNATURE OF PARENT OR LEGAL GUARDIAN OF MINOR: _____ DATE: _____ (REV. 11/2017) PART: A Date: License No: License Expiration Date: Driver s License Option: 5 year Driver s License ($45) 3 year Driver s License ($25) Replacement ($25) Schedule written test (Please select class type below)Issuance of Intermediate License (Traffic clearance required)( $10) Convert Intermediate to Full (Traffic clearance required)( $10) Traffic clearance must be dated within the last 30 days Class Type: Operator Chauffeur Taxi ($32)Taxi ID Card ($25) Motorcycle Name: (Last) (First) (Middle) Social Security NumberDate of Birth Home Ph: Cell Ph:Email Mailing Address: Residential Address: Sex Height Weight Eye Color Hair Color Previous License Type Code Restrictions Job Title: Company:Work Ph: Citizenship (Check one) FSM (Which State): _____ Belau Other:_____ INSTRUCTIONS: For the questions listed below, please select Yes or No YES NO Question 1) Are you willing to be an ORGAN DONOR?

GUAM DRIVER’S LICENSE APPLICATION (See the backside of this application for instructions and requirements) SIGNATURE OF PARENT OR LEGAL GUARDIAN OF MINOR: _____ DATE: _____

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