DEFENSIVE DRIVING COURSE APPLICATION
Full name as stated on your licence
please make sure this is a number you can easily be contacted on.
Please put your full address including area (eg: Waipukurau, Waipawa, Otane etc)
Date of birth
Click as many as applies
BANK ACCOUNT DETAILS
02 0780 0042411 00
Please put your last name as reference and DDC as code
Please tick that you've read and understood this information
This is on the back of your licence
Please include photos of the front & back of your current drivers licence. Photo needs to be clear enough to get your licence details
Please select the course that works best for you.
It will be 4x sessions 5 - 7pm over a few weeks and then a practical drive to be arranged. You must attend all sessions.
Please let us know if there is any further information you want us to know about you or how you learn. This information will be held in the strictest confidence.
For example: