FHS Driving License

Name and Surname:

Staff/Student Number:

Please provide your Email Address:

Please indicate the Country of which the licence was obtained from:

Licence Number (Please provide details of your driving licence number):

Licence Code (Please select the licence code you have obtained):

Please indicate if you have a PrdP:

Yes
No

Licence Validity (Please indicate until when will your licence be expired):

If you do have a PrdP, please provide expiry date below. If not applicable please leave blank or NA:

Please upload your Driving licence below:

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Faculty of Health Sciences