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Name:Middle Initial:First Name:Address:Date of Birth:  \nYYYY-MM-DDTelephone Number:592               E-mail:                                    Phone numbers should be ten(10)digits E.g.5921234567.Do not use characters suchas dashes,hyphens or spaces.  \nIDENTIFICATIONID Type:□National ID □Passport □Other(Specify):ID Number:TIN:Height (cm):Eye Colour:LICENCE INFORMATIONRequest for:Type of Licence:  \n□ New Licence □ RenewalType of Vehicle:  \n□ Car□ Van □ Cycle □Mini Bus □ Hire Car □ Motor Bus □ Tractor □ LorryDETAILS OF COMPETENCEAuthority by which test was made:                                                                              Date:                Result of Test:DECLARATION OF PHYSICAL FITNESS  \nThe Applicant is required to furnish answers to the following questions by selecting\"Yes\"or \"No\"opposite each question.  \n1.Do you suffer from epilepsy,sudden attacks of disability,giddiness or fainting?  \n2.Are you able to read from a distance of 25 yds in good daylight(with glasses,if worn)a Motor Vehicle numberplate containing six(6)letters and figures?  \n3.Have you lost either hand or foot,or are you suffering from any defect in movement control,or muscular powerof either arm or leg?If yes,give particulars.  \nI declare that l am not suffering from any other disease or disability,which would be likely to cause the driving by me of a motorvehicle to be a source of danger to the public.  \nI further declare that to the best of my information and particulars given in the declarations on this application hereof are true.I further declare that it is an offence for a person to use a motor vehicle on public road unless there is in force a policy on theinsurance or a security against third party risks covering the use by that person of that vehicle.  \nSignature:                            \nDate:                    \nYYYY-MM-DD  \nApplicant who answers“yes”to question 3 in declaration of Physical fitness may either (i)claim to be subjected to a driving test,(ii)sign the Declaration,on next page,if in the position to do so.  \n# CLAIM TO BE SUBJECT TO A DRIVING TEST\n\nI claim to be subject to a test to my fitness or ability to drive a motor vehicle of the class or classes specified in this application.  \n\n|  | Ye   | ar   |  | Mo   | nth   | D   | ay   |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n\nSignature:  \nDate:  \nDECLARATION  \nI hereby declare that a drivers'certificate under the Motor Vehicles'ordinance,1935 Drivers'Licence under the Motor Vehicle andRoad Traffic Ordinance,was issued to me on the                    by the                        certifyingauthority to drive a motor vehicle of the type in respect of which a drivers'licence is now applied for by me and thedate my last application for a drivers'certificate the disease or physical disability from which I am suffering has notbecome more acute and that lam not suffering from any disease or disability not disclosed on such last application.  \n\n|  | Ye   | ar   |  | Mo   | nth   | D   | ay   |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n\nSignature:  \nDate:  \nOFFICIAL USE ONLY  \nClass of Licence:  \nExpiration Date:  \n\n|  | Ye   | ar   |  | Mo   | nth   | D   | ay   |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n\nLicence Number:  \nLicence Cover Number:  \nCertificate of Competence Number:  \n\n| Date   |  Iss  \u003Cbr>Ye   | ued  \u003Cbr>ar   |  | Mo   | nth   | D   | ay   |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n\nForeign Licence Number:  \nCountry:  \nExpiration Date:  \n\n|  | Ye   | ar   |  | Mo   | nth   | D   | ay   |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n\nExamined by:  \nCertified by:  \nmMouo vchcesag 20Tam Reguaton","cbCaip3BsH3LQATe","https://ap.wps.com/l/cbCaip3BsH3LQATe","pdf",123196,"English","# Personal Information\n# Identification and Licence Information\n## Request for Licence Type and Vehicle Type\n# Details of Competence\n# Declaration of Physical Fitness\n# Claim to be Subject to a Driving Test\n# Declaration (Drivers' Certificate Issuance)\n# Official Use Only","[{\"question\":\"该申请表包含哪些主要信息栏？\",\"answer\":\"包含个人信息、身份证明类型与号码、TIN、身高与眼睛颜色，以及申请的驾照类型与车辆类型等。\"},{\"question\":\"身体健康声明要求申请人勾选哪些内容？\",\"answer\":\"需要回答是否患有癫痫或突然失能、是否能够在良好白天从25码读取车牌、以及是否有手脚缺失或肢体运动控制、肌力方面的缺陷等问题。\"},{\"question\":\"申请人对“申报真实信息”和保险要求需要怎么声明？\",\"answer\":\"申请人需声明其所提供的声明与信息真实，并确认法律要求：公共道路上使用机动车需有第三方风险保险或担保政策生效。\"}]","Application/Renewal for Drivers' - Provisional & Conductors' Licence | PDF",1789734912]