Email address*. If aged 70 or over or if your current licence expires on the eve of your 70th Birthday a valid medical report will be required. The NDLS will use these contact details to contact you in the event of issues with your application, dispatch of your licence and future renewal reminders. Driver number. (if available) a) My application is for a driving licence/learner permit as a driver of a. No b) Has your most recent licence/permit been revoked or have you been advised by a medical professional to cease driving for a period? If yes state reason.
Your application must be accompanied by a medical report if you: • Are applying for a learner permit or Driving licence in any of the categories C1, C, D1, D, CE1, CE, DE1 or DE. • Will be 70 years of age or more on the first day of the period for which the licence or Learner Permit is being granted. Black Rock Shooter Mp4upload. • Suffer from • Have ever suffered from alcoholism or epilepsy • Are taking, on a regular basis, drugs or medication which would be likely to make you an unsafe driver The must be completed correctly by a registered medical practitioner and you must sign the declaration in his/her presence.