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ORIGINAL RENEWAL DUPLICATE INSTRUCTION …

APPLICATION FOR DRIVING PRIVILEGES OR ID CARD. ORIGINAL RENEWAL DUPLICATE INSTRUCTION PERMIT. Information in boxes MUST be completed prior to visiting a DMV representative. Please PRINT in black or blue ink only. LICENSE OR PERMIT CLASSIFICATION ENDORSEMENTS IDENTIFICATION CARD. Real ID Standard Class C Class A J G Real ID Standard Driver Authorization Card Class M Class B F Seasonal Resident CHANGE TO INFORMATION ON CARD: NAME ADDRESS DATE OF BIRTH SOCIAL SECURITY NUMBER SEX. LAST NAME (PRINT) FIRST NAME MIDDLE NAME SUFFIX NEVADA DL/DAC/ID NUMBER. SOCIAL SECURITY NUMBER (not required for DAC) DATE OF BIRTH FULL LEGAL NAME ON BIRTH CERTIFICATE BIRTHPLACE (CITY & STATE OR COUNTRY). SEX (CIRCLE) HEIGHT WEIGHT HAIR COLOR EYE COLOR MOTHER'S MAIDEN NAME. M F _____ FT. _____ IN.

Check box to place mailing address on the front of card (For Standard or DAC only)

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