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Saturday, 04 February 2012
iDrive Driving Centre Enrollment Form
Student Personal Details
Title
Mr.
Mrs.
Ms.
Dr.
Surname
Given Name
Christian Name
Passport NRIC
Citizenship
Gender
Male
Female
Handphone
Date of Birth
Race
Chinese
Indian
Malay
Others
Residential Address
Postal Code
Email
Other Contact No.:
For Students applying for Class 3 and 3A ONLY
Preferred Test Centre (for circuits practice and TP)
N.A.
CDC
BBDC
SSDC
I've no idea. Please advise
Theory Tests Passed (Select/Uncheck the appropriate checkboxes)
None
Basic Theory Test
Advance Theory Test
Final Theory Test Validity (if applicable)
Applied PDL
N.A.
Yes
No
PDL validity (if PDL is already applied)
For Students Applying for Remedial Course ONLY
Remedial TestDate
Current Driving School
N.A.
CDC
BBDC
SSDC
Other Information
Medical Conditions (Please specify any medical conditions that might potentially affect driving)
N.A.
Proposed Commencement Date (1)
Proposed Commencement Time (1)
0800 - 0900
0900 - 1000
1000 - 1100
1100 - 1200
1200 - 1300
1300 - 1400
1400 - 1500
1500 - 1600
1600 - 1700
1700 - 1800
1800 - 1900
1900 - 2000
2000 - 2100
2100 - 2200
Proposed Commencement Date (2)
Proposed Commencement Time (2)
0800 - 0900
0900 - 1000
1000 - 1100
1100 - 1200
1200 - 1300
1300 - 1400
1400 - 1500
1500 - 1600
1600 - 1700
1700 - 1800
1800 - 1900
1900 - 2000
2000 - 2100
2100 - 2200
Please specify any other related information.
Course Applying
Course Applying
Class 3 - ($26/hr)
Class 3A - ($32/hr)
Refresher(Manual) - ($36/hr)
Refresher(Auto) - ($50/hr)
Remedial(Manual) - ($36/hr)
Remedial(Auto) - ($50/hr)
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