Basic Details
Please select the type of licence you have *
Do you currently possess your licence? *
Please indicate if your licence has been Lost, Stolen or Destroyed *
Driver’s Licence Number *
Driver’s Licence Expiry Date *
Do you meet the legal eyesight standard for driving? *
Do you need to wear glasses or corrective lenses to meet this standard? *
Are you currently disqualified from driving in the UK (including Northern Ireland, Jersey, Guernsey and Isle of Man) or any other country? *
Disqualification date *
Court Name *
In which European Union or European Economic Area country have you lived in the last 12 months? *
Do you suffer from any medical conditions that may impact your ability to drive? *
Medical Conditions *
Personal Details
Title *
Gender *
First Name *
Last Name *
Middlenames
Mother's Maiden Name (Surname before marriage) *
Birth Last Name *
Birth Date *
Place of Birth *
Country of Birth *
Address Details
Address Postcode *
Please specify a postcode to lookup add address manually
Address line 1 *
Address line 2
Town *
Postcode *
Country *
How long have you lived at current address ? *
Years *
Months *
Is this the address on your current licence? *
Security Details
Passport Number *
Passport Expiry Date *
Passport Issuance Country *
National Insurance Number *
Confirmation
Email Address *
Confirm Email Address *
Phone Number *
Confirm Details *
Fast Track *