Application For A Learner Driver Theory Test - Isle Of Man Government
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1
2Department of Education and Children
Rheynn Ynsee as Paitchyn
Application for a
Department of Infrastructure
Rheynn Bun-troggalys
Learner Driver Theory Test
Please take or post this form to the Isle of Man College (Government Theory Test Unit), Homefield Road,
Douglas, IM2 6RB. (Telephone bookings cannot be accepted). A Cheque or Postal Order for £35 payable to the
Isle of Man Government must accompany this application. If after 21 days you have not received an appointment
confirmation letter, please contact the Theory Test Unit on +44 1624 648348.
Please complete in BLOCK CAPITALS and in black ink.
Part A
Title
Surname
Forenames in full
Gender M/F
Date of birth
/
/
Address
Tel No. Day
Tel No. Evening
Email
Postcode
Category of Test - Tick one box only
Motor Bicycle
Motor Car or
(For a 3-wheeled moped, either test may be taken).
or Moped
Other Vehicle
Tests are held at the Isle of Man College - Cross out
MON am
THURS am
FRI am
SAT am
the days of the week that you will not be available to
MON pm
THURS pm
FRI pm
take the test.
(There may be a longer delay for Saturday appointments)
State dates that you will not be available to take the test.
From
To
/
/
/
/
Do you require wheelchair access at the test centre? (please tick)
If you have taken a theory test in the Isle of Man previously, insert date of last attempt.
/
/
Do you have a special need or disability and require special arrangements to take your
test e.g. dyslexia, other reading difficulties etc? (please tick)
Please supply medical proof to enable us to provide assistance. (We will contact you to make the arrangements).
If you hold an Isle of Man driving licence (provisional or full) and wish to use it as identification in place of a
countersigned photograph, enter the issue number below and bring the licence with you when you sit the test. (You are
not required to submit a photograph with your application).
Date of issue
Driving Licence issue number
/
/
If you do not have an Isle of Man driving licence, please complete Part B on the reverse of this form.
I certify that I have attained 16 years of age and I am not disqualified from driving by order of any court.
All the information given in this application is correct to the best of my knowledge and belief.
Date
Signature
/
/
Office use only:
Receipt number
Date received
/
/
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