Application for a Search of System

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* Denotes Required Inputs

Part A

Applicant's Information

First Name*

Last Name*

Sex* Male Female

Date of Birth*

Email*

Contact #*

Driver's Licence #

House #

Apartment #

Street Name*

Island*

District*

P.O. Box #

Postal Code

Postal Address

The above applicant wishes to apply to the Director of Vehicle & Drivers' Licensing for a search of the Vehicle and Drivers' Licence system to confirm:

Drivers' Licence History giving first date of issue – CI $75.00. Certificate of Competence issued by the Driving Examiner – CI $100.00. Bank Lien – CI $100.00.

Part B

Tick the checkbox to fill in vehicle information

Declaration

I declare that the information provided on this form is true and correct. A false declaration is punishable by a fine of CI$2,000 and/or six months imprisonment.

Full Name of Applicant *

Copy name

Applicant's Signature*

Clear

Date*

I agree that I have read and understood Terms & Conditions and acknowledge that I have familiarized myself with the applicable Privacy Policy of the Department of Vehicle & Drivers’ Licensing (DVDL). Further, I acknowledge that providing false or misleading information in my application may lead to prosecution in line with Cayman Islands Laws.

Application for a Search of System

Part A

Applicant's Information

The above applicant wishes to apply to the Director of Vehicle & Drivers' Licensing for a search of the Vehicle and Drivers' Licence system to confirm:

Part B

Vehicle Information

Declaration

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