Application for a Driver Theory Test
Car (B), Motorcycle (A, A2, A1), Moped (AM), Tractor/Work Vehicle (W), Truck (including Step 1 of Driver CPC) (C), Bus (including Step 1 of the Driver CPC) (D), Truck & Bus (including Step 1 of Driver CPC) (CD), Bus Module (BMT) or Truck Module (TMT)
You can now book online at www.theorytest.ie
The fee for category AM, BW, BMT & TMT is €45; for category C & D is €72 and for CD is €84
A p p l i ca ti o n f o r a D r i v e r The o r y Te st
A p p l i cati o n f o r a D r i v e r CP C B us o r Tr uck
TO BOOK PHONE 1890 606 106 (Lo–call rate) Lín Áirithinte trí Ghaeilge 1890 606 806
Car (B)/Motorcycle (A, A1)/Moped (AM), Tractor/Work Vehicle (W), Truck (C) or Bus (D) – Note 6.
The o r y Te st (Cer tificate of Professional Competence – Note 1)
Our operators are available from Monday to Friday 8.00am to 6:00pm to book your test and immediately confirm your appointment. Please have your Credit/Debit card, PPSN and PSC Card to hand.
Yo u c a n n o w b o o k o n l i n e a t w w w. t h e o r y t e s t . i e
Yo u c a n n o w b o o k o n l i n e a t w w w. t h e o r y t e s t . i e
The fee f or a Categor y AM, BW, C or D Theor y Test is 45.00
Please Note: A separate form is required for CPC Case Study –Step 2 Applications.
The fe e f o r a D r iv e r CP C B us o r Tr uck The o r y Te st is 144.00. (Pa r t 1: 72.00 Pa r t 2: 72.00)
Please read both sides of this form and complete the form in BLOCK CAPITALS
The fe e f o r b o th a B us & Tr uck co mb i n e d Te st is 216.00.
Personal public service number (PPS Number)
To Book PHONE 1890 606 106 (Lo - call Rate) or TEXT PHONE 1890 616 216 nó Líne Áirithinte trí Ghaeilge 1890 606 806
TO BOOK PHONE 1890 606 106 (Lo - call Rate) Text Phone 1890 616 216 Líne Áirithinte trí Ghaeilge 1890 606 806
Driver number (in BLACK PRINT on paper licence or 4d on card)
Our operators are available from Monday to Friday 8 00am to 6 00pm to book your test and immediately confirm your appointment Please have your Credit Card and PPSN to hand
Our operators are available from Monday to Friday 8 00am to 6 00pm to book your test and immediately confirm your appointment Please have your Credit/Debit Card, PPSN, Learner Permit or Driving Licence to hand (Note 5)
MANDATORY
MANDATORY FOR C, D, CD, BMT & TMT
Please read both sides of this f orm and complete the f orm in B LOCK CA P I TA LS
Please read both sides of this f orm and complete the f orm in B LOCK CA P I
CATEGORY OF TEST
(TICK ONE ONLY)
CATEGORY AM
Motorcycles & Mopeds
Truck Theory Test
BW
Cars, Tractors and Work Vehicles
Truck & Bus Theory Test
CATEGORY BMT
CATEGOR Y OF TEST (TICK ONE ONLY )
Please tick if you would like to listen to the test through headphones in one of the following languages. Note: This option will not be available on the day of testing unless selected in advance
YOUR DETAILS
Bus Theory Test
YOUR
PLEASE NOTE – Your First Name(s) and Surname(s) Must match exactly the name and surname on the form of Identification that will be presented at the test Center. Please note the date that you post your application. If after 14 days you have NOT received an appointment confirmation, please contact 1890 606 106 IMMEDIATELY. Failure to do so could result in LOSS of fee or missed appointment (Note 2).
IF PROVIDED, CONFIRMATION WILL BE BY EMAIL ONLY
Where would you like to take your test? (See locations overleaf (Note 1)
Where would you like to take your test? (see locations overleaf (Note 1)
able
What is the earliest date you would be able to take your test? Please allow 10 days for postal application (Note 6)
What is the earliest date you would be able to take your test? Please allow 10 days for postal application (Note 6 & 10)
If the above date is not possible, a test will be booked for you on the closest possible date. To allow us to book a date and time that is best for you, we recommend you book on-line at www.theorytest.ie or alternatively by telephone using the number at the top of this form.
If the above date is not possible, a test will be booked for you on the closest possible date To allow us to book a date and time that is best for you, we recommend you book on- line at w w w.theo r y test.ie or alternatively by telephone using the number at the top of this form
If the above date is not possible, a test will be booked for you on the closest possible date To allow us to book a date and time that is best for you, we recommend you book on- line at w w w.theor y test.ie or alternatively by telephone using the number at the top of this form
If you have a special need or disability that may require special arrangements to take your test e g dyslexia, or other reading or hearing difficulties, additional suppor t can be provided, e g extended time You will need to send medical evidence from a school, doctor or employer on headed paper together with this completed application form Upon receipt we will contact you to make the arrangements or for fur ther information you may Email theor y testhelp@prometric.co m (Please Tick)
(Please Tick)
(Please Tick)
Do you have a special need or disability that may require special arrangements to take your test eg. Dyslexia, reading or writing difficulties or hearing issues? PLEASE NOTE - If you require additional support, you will need to provide medical evidence from a school, doctor or employer on headed paper together with this application form. Upon receipt we will contact you to make the arrangements for your test. See note 10 for Language Support Services.
Do you have a special need or disability that may require special arrangements to take your test e.g. dyslexia, other reading, hearing or language difficulties etc ? Note 9 P lease note if you require additional suppor t, you will need to send medical evidence from a school, doctor or employer on headed paper together with this completed application form Upon receipt we will contact you to make the arrangements or for fur ther information you may Email theo r y testhelp@pro metric co m
Please tick if you would like to listen to the test through headphones in one of the f ollowing languages.
CREDIT/DEBIT CARD DETAILS
Please tick if you would like to listen to the test through headphones in one of the f ollowing languages
I wish to pay by Mastercard/Visa. Please charge my account. My card number is: Expiry Date
CR ED I T/D EB I T CA R D D ETA I LS
CR ED I T/D EB I T CA R D D ETA I LS
I wish to pay by Mastercard/Visa Please charge my account My card number is:
Remember, with a Credit Card or Voucher you can book online immediately at www.theorytest.ie
I wish to pay by Mastercard/Visa. Please charge my account. My card number is:
VOUCHER DETAILS (Note 6)
Please charge to my account
TA LS Personal public service number
Driver number (in BLACK PRINT–item 5 on your Learner Permit) C A T E G O R Y O F T E S T (Please Tick) *Multiple Choice Questions (MCQ ) YOUR D ETA I LS Title Ms/Miss/Mrs/Mr First Names Surname Date of Bir th Daytime Tel No Bi Mobile Tel. No. Bi Gender M/F PLEASE NOTE the date that you post your application If after 14 days you have NOT received an appointment confirmation, please contact 1890 606 106 IMMEDIATELY Failure to do so could result in LOSS of fee or missed appointment (Note 3)
(PPS No )
Where would you like to take your test? (Note 2)
application
&
Day Month Year
What is the earliest date you would be
to take your test? Please allow 10 days for postal
(Note 7
10)
Day Month Year English Irish Expiry Date Please charge to my account € Title Name of card holder Signature of card holder Date Day Month Year
Stock number (in RED PRINT–1 Letter + 7 numerals–on your Learner Permit) Country of Bir th MA NDATORY Address CONFIRMATION TEXT PROVIDED Remember, with a Credit Card you can book online immediately at w w w the o r y te st ie MA NDATORY County
TR UCK (*MCQ) (Par t 1) €72 Truck Case Studies (Par t 2) €72 B US & TR UCK (*MCQ) (Par t 1) €72 Bus & Truck Case Studies (Par ts 2 combined) €144 Email Country IF PROVIDED, CONFIRMATION WILL BE BY EMAIL ONLY Day Month Year
B US (*MCQ) (Par t 1) €72 Bus Case Studies (Par t 2) €72
(Note 9)
Title Ms/Miss/Mrs/Mr First Names Surname Gender M/F
Personal public service number Driver number (in BLACK PRINT – 9 numbers – on your licence)
Motorcycles & Mopeds CATEGORY AM Cars, Work Vehicles & Land Tractors CATEGORY BW Buses CATEGORY D
Title Ms/Miss/Mrs/Mr First Names Surname Date of Bir th Address Bi Daytime Tel. No. Bi Mobile Tel. No. Bi Gender M/F PLEASE NOTE the date that you post your application If after 14 days you have NOT received an appointment confirmation, please contact 1890 606 106 IMMEDIATELY Failure to do so could result in LOSS of fee or missed appointment (Note 2)
D ETA I LS
Day Month Year
Day Month Year English Irish Expiry Date Please charge to my account € Title Name of card holder Signature of card holder Date Day Month Year Trucks CATEGORY C Email Remember, with a Credit Card or Voucher you can book online immediately at w w w the o r y te s t ie MA NDATORY MA NDATORY FOR CATEGORY C & D A P P LI CATI ON Country CONFIRMATION TEXT PROVIDED 24 HOURS PRIOR TO TEST DATE Please Note: A separate f orm is required f or CPC Applications County (Note 8) PAYZONE VOUCHER D ETA I LS Voucher Number (Note 6) Expiry Date Polish Russian Lithuanian Day Month Year Irish / English / Polish (All categories) Russian / Lithuanian (Category BW ONLY ) RSA DTT Application Form 2013:RSA Application Form 15/01/2013 14:56 Page 1
TELEPHONE NUMBER IS MANDATORY Day Month Year Day Month Year (Note 9) Irish / English / Polish (All categories) Russian / Lithuanian (Category BW Only) Arabic (Category AM/BW only)
CATEGORY
CATEGORY
CATEGORY C
D
CATEGORY CD
TMT
CATEGORY
Truck Module Test
Bus Module Test
€
Title Signature of card holder Name of card holder Date PAYZONE
Voucher Number Expiry Date Arabic Irish English Polish Russian Lithuanian
You can now book online at www.theorytest.ie
1.
Driver Theory Test Centres
Test may be taken at the following centres:
Abbeyfeale
Athlone
Ballina
Cahirciveen
Carlow
Carrick-on-Shannon
Castlerea
Cavan
Charleville
Clifden
Clonmel
Cork
Derrybeg
Donegal
Drogheda
Dublin IFSC
Dublin North
Dublin South (Dun
Laoghaire)
Dublin West
Dundalk
Ennis
Galway
Kilkenny
Killarney
Letterkenny
Limerick
Longford
Macroom
Monaghan
Mullingar
Naas
Navan
Nenagh
Portlaoise
Skibbereen
Sligo
Tralee
Tullamore
Waterford
Westport
Wexford
Wicklow
Youghal
2. Make a note of the date you post your application and if after 14 days you have not received an appointment notification, please contact 1890 606 106 (Lo–call rate) immediately. If you don’t, you may miss your appointment and lose your fee.
3. Web Bookings: www.theorytest.ie
4. Phone Bookings: Call 1890 606 106 (Lo–call rate) and have your PPS number and Credit/Debit Card details or Payzone Voucher to hand and Driving Licence if you have one. If you are not the card holder, the card holder must be present to authorise the use of the card.
5. Fax Bookings: Fax this completed application to 042 9368899.
6. Postal Bookings: Send this completed application form with your postal order or cheque to the following address: Driver Theory Test, PO Box 15, Dundalk, Co. Louth. Postal orders and cheques must be made payable to Driver Theory Test. Payment note – in addition to paying with a Credit/Debit Card, postal order or cheque you may also pay for your AM & BW test with a voucher obtainable from any outlet displaying the Payzone Sign.
7. Required Documents: When you arrive to take the Driver Theory Test, you will need to have a valid Form of ID a. A full list of acceptable I.D. are listed in our website www.theorytest.ie and the email/letter confirmation you will receive. Only valid ( in date) and original documents in good condition will be accepted. The name(s) and surname(s) must match exactly with the details on this application form or you will not be able to test and will lose your fee.
Please note: For a category C, D or CD theory test you must present a valid, full Irish category B, C or D driving licence (or one from another EU/EEA member state or Switzerland). For a Truck Module Theory test you must also present a current category D learner permit or full Irish category D driving licence or one from another EU/EEA member state or Switzerland. For a Bus Module Theory test you must present a current category C learner permit or full Irish category C driving licence (or one from another EU/EEA member state or Switzerland).
8. Certification: This form covers applications for Driver Theory Test Categories AM, BW, C, D and CD, which once passed will allow you to obtain a Learner Permit in these categories. Categories C, D and CD also provide candidates with the first step of the Certificate of Profession Competence (CPC).
The form also covers the applications for the Bus or Truck Module Theory Tests for drivers who have already passed the full Bus or Truck Theory Test. For example, when a driver sits and passes the full Bus Theory Test, this provides them with a Driver Theory Test Certificate in driving a bus, plus the first step of the Certificate of Professional Competence (CPC). If within two years of passing the full Bus Theory Test the candidate decides they would like to drive a truck also, they can sit the Truck Module Theory Test, meaning that they do not need to sit the full Truck Theory Test. However, if you have not passed this module theory test within two years, you will then be required to sit the full Truck Theory Test.
9. Irish Language: An Irish language version of this form is available. If you complete a form in Irish, an Irish language version of the Theory Test will be provided on the day of your test.
10. Language Support Services: Translator support tests are available by special arrangement at the following test centes; Dublin Central, Dublin North (Santry), Sligo, Waterford, Cork, Galway, Limerick. This support is for candidates who do not speak or understand English. Evidence of a candidate’s requirement of this service must be provided. For further information please email; drivertheorytest@prometric.com or call the booking line on 1890 606 106 (lo-call rate).
11. Cancellation/Reschedules: If you wish to cancel or reschedule your Theory Test appointment, you must give us at least 5 working days notice or you will lose your fee. For example, to reschedule or cancel a test booked for a Friday you must let us know on the previous Monday.
12. Test preparation: The test questions are taken from the question bank in The Official Driver Theory Test Questions and Answers, Cars, Motorcycles and Work Vehicles June 2017 Edition book or CD-ROM and The Official Driver Theory Test Questions and Answers, Truck and Buses June 2017 Edition book or CD-ROM. We have now launched an online learning portal please see dttsore.promtric.com for more details!
