Driving Admission Form for Basic Group Course

Name*
First Last
Upload your photo ( student photo only )
Drop files here or

Max. file size: 20 MB, Max. files: 4.
( student photo only )
SO/DO/WO*
First Last
Permanent Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Present Address ( if the address is same you can leave this section )
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

( if the address is same you can leave this section )
Upload id proof ( student id only )
Drop files here or

Max. file size: 20 MB, Max. files: 4.
Ex. Aadhaar card,Voter id,Electricity bill,Passport,Birth certificate,Ration card,PAN,Gas Connection Bill,School leaving Certificate etc.
Date of Birth*
DD slash MM slash YYYY
Phone*
Alternative number (optional)
(optional)
Gender*
- male
- female
- rather not say
Educational qualifications
Basic plan (group)*
Price:
Full course theory,Full driving course, 3 students in a group, 15 days, 1-hour Per day 5 kilometre, Practical sessions, Psychological support, Training in first aid, SMS reminders
Total
₹ 0.00
*
I agree to the terms & conditions and privacy policy JRD motor driving school.
I have my learner's license.
*
1. The school will not responsible for any loss or accident of the training period. 2.Advance money will not be refunded. 3.The driving certificate will be issued after completing successful training course only.
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Email
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Driving Admission Form basic Group