THE ROAD TRAFFIC ACT

F7
Jamaica APPLICATION FOR DRIVER'S LICENCE TRANSACTION(S)
NOTE: AN APPLICANT WHO MAKES A FALSE DECLARATION IS GUILTY OF AN OFFENCE
INSTRUCTION : Complete Boxes 1 to 16
SECTION A - TRANSACTION(S)
1. Transaction(s) Required: 2. Class of Licence:
Issue (New Applicant) Amendment Substitute Private Motor Cycle
(Replacement)
Renewal Upgrade General
SECTION B - GENERAL INFORMATION
3. Name (Last) (First) (Middle) 4. Taxpayer Registration Number

5. Address (Apartment Number, Street Number and Name, Postal Zone, Parish) 6. Date of Birth
Y ear Month Day

7. Place and Parish of Birth 8. Nationality 9. Sex 10. Occupation

Male Female

11. Examination Depot 12. Collectorate of First Issue 13. Date of First Issue
Y ear Month Day

14. Type(s) of Vehicle(s) Licensed to Drive 15. Date of this Application

Y ear Month Day

FOR OFFICIAL USE ONLY

SECTION C - DECLARATION
PLACE APPLICANT'S
PHOTOGRAPH HERE
16. I DECLARE THAT ALL THE
PARTICULARS STATED ABOVE (To be certified by a Justice
ARE TRUE AND CORRECT. of the Peace, Superintendent
SIGNATURE OF APPLICANT of Police or a member of The
(Please sign within this box) Authority)

FOR OFFICIAL USE ONLY

17. New Applicant Amendment Upgrade 18. Collectorate and Code 19. Base Stock Number
Renewal Substitute
20a. Receipt Number 21. Certificate of Competence No. 22.Certificate of Comp. Date 23. Licence Expiry Date
Y ear Month Day Y ear Month Day
20b. Date: Y ear Month Day

24. Judicial Endorsements 25. Licence Control Number

26. Remarks VALIDITY STAMP

27. Supervisor's 28. Issuing Officer's

Name: Name:

Signature: Signature:
29. Licence Received By: 30. Date Licence Received
Y ear Month Day
Name: Signature:

Form No. F7 (Rev ised 2009/2) Tax Administration Jamaica