Transcription of PennDOT - Commercial Learner's Permit
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initial /EXTEND/UPGRADE OF LEANER'S PERMITALL NEW APPLICANTS MUST SUBMIT A SELF CERTIFICATION FORM (DL-11CD)ADRIVER'S LICENSE NUMBER LAST NAME JR/ETC DATE OF BIRTH SOCIAL SECURITY NUMBER TELEPHONE NUMBER (8:00 :30 ) E-MAIL ADDRESSM onth Day YearFIRST NAME MIDDLE NAMER estriction Removal(Check all that apply)PHOTO FEE - Required (Except as noted on back of form) $ FEE (see back*)$ 7-12 Months ..$ Months ..$ Months ..$ Months ..$ FEE - Complete if you are upgrading from a non- Commercial license to a CDL. Determine the number of months until expiration of your driver's license and complete with appropriate Veterans wishing to add the Veterans Designation to their Driver's License or ID Card: I certify under penalty of law that I am a qualified applicant and hereby request it be added to my product.
initial/extend/upgrade of learner's permit. all new applicants must submit a self certification form (dl-11cd) a. driver's license number last name jr/etc. date of birth social security number telephone number (8:00 a.m.-4:30 p.m.) e-mail address. month day year. first name middle name. restriction removal (check all that apply) photo fee ...
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