Driver Licensing Online

Application Completion Form

Do it online at: www.direct.gov.uk/drivinglicence
Our Ref: Form B

Application Reference Number-20102061721579 464450835 Personal Details Send to :DVLA SWANSEA SA99 1YW
The Post Office® Premium Checking Service can not be used for online transactions. Please return this form by post.

Title Surname Forename(s) Date of Birth

Miss Grant Lauren Sophia Marie 11/01/1993

Thank you for using our online driving licence service. Before we can send you a driving licence, please read the following notes and sign this form before sending it to us.

1. Your photo
You must enclose your photo for use on your driving licence (even if you ticked the box on your online application to attempt to use the photo from your passport) • make sure it is a true likeness of you and is in colour and passport-sized • write your application reference number, given at the top of this form, on the back of the photo • it must be loose in the envelope - do not staple, glue or tape it to this form Finally • sign in the box below, using black ink and ensure your signature is completely within the white box. By signing this form you are confirming all the details and consents you have given on your online application. • send this form and your photo to the address, at the top of this form, within 21 days

If we do not receive the form and your photo within 21 days your application for a driving licence will be deleted and any payment refunded. We will not issue a Driving Licence or update your Driver Record.

2. Your signature
Your application cannot be processed unless you sign below in black ink and your signature is completely within the white box. Keep your signature within the white box

Official use only
DO NOT attach your photograph here Simply include it loose in the envelope

04/06a

Keep your signature within the white box

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