Free D1 Dvla PDF Form

Application for a driving licence

You must read booklet INF1D when filling in this form.

Information about the Premium Service available at selected Post Office™ branches and DVLA local offices is also in this booklet. See leaflet INS115 for information on fees.

D1

Please use BLOCK CAPITALSand fill in this form in black ink. If you want to apply for a LGV or PCV licence, you need to fill in a D2 application form. See page 12 of the INF1D for details of where to get this form.

1Your details

Surname

First names

Mr ■ Mrs ■ Miss ■ Ms ■

What is your UK driver number (if you know it)?

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Current address

Full daytime phone number

E-mail address

1a Residency

Have you lived in another EC or EEAcountry in the last 12 months? No ■ Yes ■

If ‘Yes’, which country?

What date did you come to

live in the UK? ■■ ■■ ■■■■

2Your eyesight

You must fill in both questions 2a and 2b

a Can you read a car number-plate (with glasses

b Do you need to wear glasses or correctiveYes ■ No ■

3The licence you want

Start date Your licence starts on the day we issue it. You can ask for your licence to start from a later date but this cannot be more than two months after the day you apply.

If you are 16 and getting Disability Living Allowance■

(mobility component) at the higher rate, and want to drive a car

If ‘Yes’, you must enclose evidence of this (if not shown on your licence). See INF1D page 12 – licences from other countries.

Organ donation

I want to donate an organ to help someone else after my death.

Please register me on the NHS Organ Donor register as someone whose organs can be used for a transplant. Tick the appropriate box or boxes.

Official use only

Passport ■

B/cert ■

M/cert ■

Other

No ID ■

5Your health

You must fill in either part A or part B or we will send your application back to you.

If you have already told us about a medical condition that could affect your fitness to drive – and you have no new medical condition

– miss out part Aand go on to part B of this section.

Part A

If you have answered ‘Yes’, please tick all the appropriate boxes.

If you have answered YES to one of the above questions you may be required to complete a medical questionnaire. Questionnaires are available on the DVLAwebsite http://www.dvla.gov.uk to be sent in with your application.

Part B

Only fill in this part if you have told us about a medical condition before.

You must read pages 6 to 10 of the INF1D before filling in section 6 and 7. Do not fill in sections 6 and 7 or supply a new photograph if you have a photocard licence, unless you are registering a change of name, photograph or signature. UK birth/adoption certificates are not acceptable as sole proof of identity and we may ask for further evidence. We are unable to verify details on non-UK birth certificates and they cannot be accepted as proof of identity.

6Confirming your identity

Tick the documents you are providing to prove your identity – see pages 6, 7 and 8 of INF1D for more details. Photocopies are not acceptable.

Passport ■Your UK birth or adoption certificate ■

EC or EEAidentity card ■ TravelDocument■

Evidence of SRP(State Retirement Pension) ■

Also, please write the identity number of the document you are providing.

Tick the documents you are also providing to show a clear link to your current name if different from that shown on your passport, birth certificate or adoption certificate.

Marriage certificate ■ Divorce certificate ■

Your deed poll or statutory declaration ■

Also,pleasewritetheidentitynumbersofthedocumentsyouareproviding.

7Signing your photograph

Ifyouareprovidingidentitydocumentsotherthananup-to-dateUK,ECor EEApassport,someonereliablemustsignthebackofyourphotograph. (See page 8 and 9 of INF1D for more details.)

Warning: This person must have known you personally for at least two years, and must not be a relative or a member of the Post Office™ staff processing the application, if you choose to use the Premium Checking Service – see page 13 of INF1D for more details.

TO BE FILLED IN BY THE PERSON SIGNING YOUR PHOTOGRAPH.

State how many years you have known the applicant: This MUST be at least 2 years.

I have signed the back of the photograph which is a true likeness of the applicant.

Full name

Business or home address

Postcode

Full daytime phone number

ProfessionQualifications

Warning: We will make random checks on those who sign photographs for driving licence applications.

What is the condition?

Post Office™ date stamp

Document checklist

Make sure you have enclosed the following where they apply.

Tick the appropriate boxes.

8Your signature

I understand that it is a criminal offence if I make, or anyone else makes, a false declaration to get a licence and to do so can lead to prosecution and a fine of up to £2500. I also understand it is an offence to fail to provide information which can lead to prosecution with a fine of up to £1000.

Important

Cheque or postal order number

Identity documents (if this applies)

Yourlastlicence(andcounterpart ifthisapplies)

Your test pass certificate (if thisapplies)

You may wish to use a secure delivery service to send your identity documents to us. Enclose a pre-paid secure envelope for us to send these back to you.

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We will not accept this application unless you sign below in black ink and your signature is completely within the white box.

• Keep your signature within the white box •

• Keep your signature within the white box •