Fillable Form Yg(5729qe) F2 - Parental Or Guardian Consent printable pdf download

Form Yg(5729qe) F2 - Parental Or Guardian Consent

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PARENTAL or GUARDIAN CONSENT FORM

(for applicants under the age of 18)

Applicant’s Information

Legal Given

Legal Surname: _____________________________ Name(s): _____________________________

Address: _________________________________________________________________________

City: _________________________________________ Postal Code: _______________________

Date of Birth: (yyyy/mm/dd) __________/___________/_________

I certify that I am the individual named above, that my date of birth and address are as stated above,

and the signature below is my signature.

I consent to Motor Vehicles collecting the information about me set out under the Applicant’s

Information section from my parent/guardian and such other personal information about me from my

parent/guardian or other third parties as necessary to verify my identity.

Applicant’s Signature _______________________________________________________________

Consent of Parent or Legal Guardian (must be fully completed)

Legal Surname: _______________________________Given Names:________________________

Address: ________________________________________________________________________

City: _____________________________________________ Postal Code: ___________________

I currently hold a Yukon Driver’s licence. Driver’s Licence number: ___________________________

I give my consent for my son/daughter/ward to obtain a Driver’s Licence or General Identification

Card.

I authorize Motor Vehicles to take such steps as it considers necessary to verify the validity of the

information I have provided, and to collect my personal information for that purpose.

Parent/Guardian’s Signature: __________________________________

Date: ___________________________

Signed at (City / Territory): _________________________

The personal information contained in this form is collected under the authority of sections 38 and 38.12 of the Motor

Vehicles Act and under the authority of section 29(c) of the Access to Information and Protection of Privacy Act. The

personal information is used to administer the driver’s licence or identification card records.

YG(5729QE)F2 4/2012

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Form Yg(5729qe) F2 - Parental Or Guardian Consent

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