Driver Licensing Online

Application Completion Form

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

Application Reference Number-20171311725291

Personal Details
Send to :-
DVLA SWANSEA SA99 1YW Title Miss
Surname Dan
The Post Office Premium Checking Service can not be used for online
transactions. Please return this form by post. Forename(s) Angela
Date of Birth 04/02/1994

Your current driving licence

Driving licence issue number:
Photocard number: GCX2163225

Thank you for using our online driving licence service. Before we can send you a driving licence you must return
your current driving licence with this form. Please cut this into two parts.

Please sign below and return to the address at the top of this form within 28 days.

Signed : _____________________________________

Date : _______________________________________

If we do not receive the form and your driving licence within 28 days, your application for a driving
licence will be deleted and any payment will be refunded. We will not issue a Driving Licence or update
your Driver Record.

04/06a