APPLICATION FOR DRIVER'S LICENCE TRANSACTION(S)

1 THE ROAD TRAFFIC ACTNOTE: AN APPLICANT WHO MAKES A FALSE DECLARATION IS GUILTY OF AN OFFENCEFOR OFFICIAL USE ONLY17. APPLICATION FOR DRIVER'S LICENCE TRANSACTION(S) F7 INSTRUCTION : Com plete Boxes 1 to 16 JamaicaSECTION B - GENERAL INFORMATION10. Occupation7. Place and Parish of Birth8. Nationality9. SexMaleFemale6. Date of Birth12. Collectorate of First Issue13. Date of First Issue14. Type(s) of Vehicle(s) Licensed to Drive15. Date of this ApplicationSECTION C - DECLARATIONPLACE APPLICANT'SPHOTOGRAPH HERENew ApplicantRenewalAmendmentSubstitute18. Collectorate and Code21. Certificate of Competence of Comp. Date23. LICENCE Expiry DateDayY earMonth24. Judicial Endorsements25. LICENCE Control Number26. Remarks29. LICENCE Received By:Name:Signature:Form No. F7 (Rev ised 2009/2)Tax Administration Jamaica 30. Date LICENCE ReceivedVALIDITY STAMPSECTION A - TRANSACTION(S) 2. Class of LICENCE :Motor CyclePrivateGeneral1. Transaction(s) Required:IssueRenewalAmendment20b.

2 Date:Receipt NumberI DECLARE THAT ALL THEPARTICULARS STATED ABOVEARE TRUE AND OF APPLICANT3. Name(Last)(First)(Middle)11. Examination Depot(Please sign within this box)Upgrade(To be certified by a Justiceof the Peace, Superintendentof Police or a member of TheAuthority)FOR OFFICIAL USE ONLY19. Base Stock NumberSignature:Signature:Y earDayMonth27. Supervisor'sName:Name:28. Issuing Officer'sUpgrade(New Applicant)(Apartment Number, Street Number and Name, Postal Zone, Parish)5. Address4. Taxpayer Registration NumberDayY earMonthDayY earMonthY earDayMonthDayY earMonthDayY earMonth(Replacement)Substitut