To:

Kingston Intensive Driving School
7 Heathfield Way
Barham
Kent
CT4 6QH

APPLICATION FOR INSTRUCTOR'S COURSE

(Please use BLOCK CAPITALS)

Mr/Mrs/Miss/Ms

Surname………………………………….....………..Forename……………………….........…………

Date of Birth.............../............./......................

Address………………………………………………………………………………………………….

..................................................................................................................................................................

……………………………………………Post code………………………………...............................

Telephone Home…………………………………. Work ……………………………………………...

Accommodation Required  Yes [….] No [….]

I have enclosed an Instructors Course Application Form together with a cheque/postal order made payable to "Kingston Driving School" for £100. The balance is to be paid by cheque/postal order/credit card, two weeks before each stage commences.

I understand that I have only three attempts at passing Part's 2 and 3. I also understand that I am responsible for paying the relevant exam fees direct to the DSA.

Signature………………………………………………… Date ……………………………………......