THE ROAD TRAFFIC ACT

Jamaica

F7

APPLICATION FOR DRIVER'S LICENCE TRANSACTION(S)

NOTE: AN APPLICANT WHO MAKES A FALSE DECLARATION IS GUILTY OF AN OFFENCE

INSTRUCTION : Complete Boxes 1 to 16

SECTION A - TRANSACTION(S)

1. Transaction(s) Required:
Issue (New Applicant) Renewal Amendment Upgrade Substitute
(Replacement)

2. Class of Licence:
Private General (Middle) Motor Cycle

SECTION B - GENERAL INFORMATION (First) 3. Name (Last)

4. Taxpayer Registration Number

5. Address (Apartment Number, Street Number and Name, Postal Zone, Parish)

6. Date of Birth
Y ear Month Day

7. Place and Parish of Birth 11. Examination Depot

8. Nationality

9. Sex
Male Female

10. Occupation 13. Date of First Issue

Y ear Month Day

12. Collectorate of First Issue

14. Type(s) of Vehicle(s) Licensed to Drive

15. Date of this Application

Y ear Month Day

FOR OFFICIAL USE ONLY

SECTION C - DECLARATION

PLACE APPLICANT'S PHOTOGRAPH HERE

16. I DECLARE THAT ALL THE PARTICULARS STATED ABOVE ARE TRUE AND CORRECT. SIGNATURE OF APPLICANT (Please sign within this box) (To be certified by a Justice of the Peace, Superintendent of Police or a member of The Authority)

FOR OFFICIAL USE ONLY

17. New Applicant Renewal 20a. Receipt Number 20b. Date:
Y ear Month Day

Amendment Substitute

Upgrade

18. Collectorate and Code 19. Base Stock Number

21. Certificate of Competence No.

22.Certificate of Comp. Date 23. Licence Expiry Date

Y ear Month Day Y ear Month Day

24. Judicial Endorsements

25. Licence Control Number

26. Remarks

VALIDITY STAMP

27. Supervisor's Name: Signature:

28. Issuing Officer's Name: Signature: 30. Date Licence Received

Y ear Month Day

29. Licence Received By:

Name:
Form No. F7 (Rev ised 2009/2)

Signature:
Tax Administration Jamaica