Heavy Vehicle Info & Enrolment Form - Cairns Truck School Learning Centre

Name(Required)

First Last

Phone Number(Required)

Email(Required)

Postal Address(Required)

Street Address City State Post Code

Please take a photo of the front of your licence. Make sure the photo is clear

Upload photo of Licence

Max. file size: 512 MB.

Do you have any medical condition that may affect you driving safely.(Required)

Epilepsy

Diabetes

Fits or Seizures

Other

None

Please Describe Medical Condition

You MAY need to obtain a heavy vehicle Medical Certificate from a doctor for the CLASS of licence you are needing. Please call the office on 07 42421135 for more info.

You will need to go to a doctor and get your medical upgraded to the licence your are going for. Please contact Cairns truck School on 0742421135 for more info

Is your drivers licence currently suspended?

Yes

Have You Completed the Written Test(Required)

Yes

Note: There is NO 'learners licence' for heavy vehicle. You can complete the written test before OR AFTER the practical driving test

How did you find out about us?

Communication(Required)

I understand that any changes to my test booking is to be arranged with Cairns Truck School. (NOT the Department of Transport)

Yes

I consent for any photos of myself taken during my training to be:(Required)

Please tick any that may apply

Uploaded to Facebook

Used in online and offline Marketing Materials

Not used for any purpose

Signature(Required)

Date