Registration Form - Category B/A1

Page 1

Category B Motorcycle Permit Registration Form

Please read and complete details on this page. Please provide us with a copy of your ID card (front & back) Please provide us with a copy of your Driving Licence (front & back) Please hand in the completed application back to us including the payment of €25.00 ____________________________________________________________________________________________________________________

FEES Registration Fee: Lessons: Block Booking Discount:

€25.00 €28.00 = 60 Minutes (pay per lesson) or 10 lessons = €175.00

____________________________________________________________________________________________________________________

Name:

__________________

ID Card No:

_________________

Surname: :

__________________

Address: :

____________________________________________________________________

_________________________________________________________________________________ _________________________________________________________________________________

Phone No:

___________________

Email:

____________________________

____________________________________________________________________________________________________________________

I _____________________________________________ agree to the conditions of service. Signature: _________________________. Date: ____________________

Rider Pro Motorcycling VAT No: MT17878832

www.RPM.com.mt info@RPM.com.mt

Mob: 77837716


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