[PDF] Application form for driving licence D401





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Application form for driving licence D401

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Application form for driving licence D401

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Please read accompanying guidance notes before

completing this form.

Please do not

photocopy this form as it may reduce its quality and result in your applbication being delayed or rejected. No If yes, which one? / Learner Permit

Driving Licence

Driver number* (if k/nown)

(You will fi nd this on fi eld 5 of the paper licence or fi eld 4d on a plastic card licence.) Mrs Miss Ms Other (please specify)

Name to appear on the licence. Acceptable photo ID must be provided in this name/. Refer to list 1 on page 4 of the accompanying guidance notes.

As it appears on your birth certifi cate

Deed Poll Use of Irish name Divorce/Separation

Previous names

Proof of address provided must match exactly the address given below. Please refer to list 2 on page 4 of the guidance notes.

Address line 2

Town*

County/City* Eircode

Day Month Y ear

Female

Original proof of PPS number must also be provided. See list 3 on page 4 of the guidance notes. If born in Ireland, please state County. If born outside of Ireland, please state Country.

La nd li ne

Email address*

The NDLS will use th/ese contact detail/s to contact you in t/he event of issues with your/ application, dispatch of your licence and future renewal reminders.Offi cial

Use

March 2020www.ndls.ie Page 1

First time driving licence.

Add/remove a category.

type*: Please see option 1 o/f checklist Please see option 2 o/f checklist Please see option 3 o/f checklist

Personal detail change/.

Replace a lost or stolen licence.

Replace a damaged licence.

Please see option 4 o/f checklist

Please see option 5 o/f checklist

Please see option 6 o/f checklist

Exchange of foreign licence.

Other(Reason):

Please see option 7 o/f checklist

No

If 'Yes", please provide details below:

Issuing country

Driving licence no.

I certify that the applicant has declared his/her licence lost/stolen.

Name of garda

Signature of garda

No If 'Yes", please state the country where the original licence was obtained: No Day

Month Year

your wish to become an organ donor.

GROUP 1 GROUP 2

Licence

Category Description of

Vehicle Licence

Category Description of

Vehicle

Moped

Motorcycle up to 125cc

Motorcycle over 125cc

Vehicle up to 3,500 kg.

Max 8 passengers

Car and Trailer

Tractors and Work

Vehicles M

A1 A B EB

W Small Truck - less than 7,500 kg

Large Truck - over 3,500 kg

Small Truck and Trailer - no

more than 12,000 kg

Large Truck and Trailer C1

C EC1 EC

Small Bus - max. 16 passengers

D1

Large Bus - more than 8

passengers D

Small Bus and Trailer - no more

than 12,000 kg ED1

Large Bus and Trailer ED

50c.c.

45KmH

7,500kg

12,000kg

12,000kg

125c.c.

11KW 25KW

0.16KW/Kg

3,500kg

1+8 1+16

Please refer to

accompanying guidance notes in relation to

IBT and

application requirementsPlease note. All applications for group 2 categories must be accompanied by a completed medical report dated within three months of application.

Please also refer

to the accompanying guidance notes in relation to CPC requirements

GROUP 1 GROUP 2

Licence

Category Description of

Vehicle Licence

Category Description of

Vehicle

Moped

Motorcycle up to 125cc

Motorcycle over 125cc

Vehicle up to 3,500 kg.

Max 8 passengers

Car and Trailer

Tractors and Work

Vehicles M

A1 A B EB

W Small Truck - less than 7,500 kg

Large Truck - over 3,500 kg

Small Truck and Trailer - no

more than 12,000 kg

Large Truck and Trailer C1

C EC1 EC

Small Bus - max. 16 passengers

D1

Large Bus - more than 8

passengers D

Small Bus and Trailer - no more

than 12,000 kg ED1

Large Bus and Trailer ED

50c.c.

45KmH

7,500kg

12,000kg

12,000kg

125c.c.

11KW 25KW

0.16KW/Kg

3,500kg

1+8 1+16

GROUP 1 GROUP 2

Licence

Category Description of

Vehicle Licence

Category Description of

Vehicle

Moped

Motorcycle up to 125cc

Motorcycle over 125cc

Vehicle up to 3,500 kg.

Max 8 passengers

Car and Trailer

Tractors and Work

Vehicles M

A1 A B EB

W Small Truck - less than 7,500 kg

Large Truck - over 3,500 kg

Small Truck and Trailer - no

more than 12,000 kg

Large Truck and Trailer C1

C EC1 EC

Small Bus - max. 16 passengers

D1

Large Bus - more than 8

passengers D

Small Bus and Trailer - no more

than 12,000 kg ED1

Large Bus and Trailer ED

50c.c.

45KmH

7,500kg

12,000kg

12,000kg

125c.c.

11KW 25KW

0.16KW/Kg

3,500kg

1+8 1+16

GROUP 1 GROUP 2

Licence

Category Description of

Vehicle Licence

Category Description of

Vehicle

Moped

Motorcycle up to 125cc

Motorcycle over 125cc

Vehicle up to 3,500 kg.

Max 8 passengers

Car and Trailer

Tractors and Work

Vehicles M

A1 A B EB

W Small Truck - less than 7,500 kg

Large Truck - over 3,500 kg

Small Truck and Trailer - no

more than 12,000 kg

Large Truck and Trailer C1

C EC1 EC

Small Bus - max. 16 passengers

D1

Large Bus - more than 8

passengers D

Small Bus and Trailer - no more

than 12,000 kg ED1

Large Bus and Trailer ED

50c.c.

45KmH

7,500kg

12,000kg

12,000kg

125c.c.

11KW 25KW

0.16KW/Kg

3,500kg

1+8 1+16 AM A1

GROUP 1 GROUP 2

Licence

Category Description of

Vehicle Licence

Category Description of

Vehicle

Moped

Motorcycle up to 125cc

Motorcycle over 125cc

Vehicle up to 3,500 kg.

Max 8 passengers

Car and Trailer

Tractors and Work

Vehicles M

A1 A B EB

W Small Truck - less than 7,500 kg

Large Truck - over 3,500 kg

Small Truck and Trailer - no

more than 12,000 kg

Large Truck and Trailer C1

C EC1 EC

Small Bus - max. 16 passengers

D1

Large Bus - more than 8

passengers D

Small Bus and Trailer - no more

than 12,000 kg ED1

Large Bus and Trailer ED

50c.c.

45KmH

7,500kg

12,000kg

12,000kg

125c.c.

11KW 25KW

0.16KW/Kg

3,500kg

1+8 1+16

GROUP 1 GROUP 2

Licence

Category Description of

Vehicle Licence

Category Description of

Vehicle

Moped

Motorcycle up to 125cc

Motorcycle over 125cc

Vehicle up to 3,500 kg.

Max 8 passengers

Car and Trailer

Tractors and Work

Vehicles M

A1 A B EB

W Small Truck - less than 7,500 kg

Large Truck - over 3,500 kg

Small Truck and Trailer - no

more than 12,000 kg

Large Truck and Trailer C1

C EC1 EC

Small Bus - max. 16 passengers

D1

Large Bus - more than 8

passengers D

Small Bus and Trailer - no more

than 12,000 kg ED1

Large Bus and Trailer ED

50c.c.

45KmH

7,500kg

12,000kg

12,000kg

125c.c.

11KW 25KW

0.16KW/Kg

3,500kg

1+8 1+16

GROUP 1 GROUP 2

Licence

Category Description of

Vehicle Licence

Category Description of

Vehicle

Moped

Motorcycle up to 125cc

Motorcycle over 125cc

Vehicle up to 3,500 kg.

Max 8 passengers

Car and Trailer

Tractors and Work

Vehicles M

A1 A B EB

W Small Truck - less than 7,500 kg

Large Truck - over 3,500 kg

Small Truck and Trailer - no

more than 12,000 kg

Large Truck and Trailer C1

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