Cardholder First & Last Name *

Applicant Driver's Full Name *

Street address *

Town / City *

Phone *

Postal code as on Bank Account *

Email address *Please make sure email address is correct

Driver's Licence Number 15 Digits. Example A1234-12345-12345 *

Applicant Licence Expiry Date* *

Select At Least 3 Test Centers ( hold CTRL while selecting to select multiple on desktop ) *BrantfordBancroftBarrieBramptonBrockvilleBurlingtonChathamClintonCollingwoodCornwallDrydenElliott LakeEspanolaFort FrancesGuelphHamiltonHawkesburyBellevilleHearstHuntsvilleKapuskasingKenoraKingstonKirkland LakeKitchenerLindsayLondonMarathonBlind RiverMississaugaMoosoneeNew LiskeardNewmarketNorth BayOakvilleOrangevilleOrilliaOshawaOttawa CanotekOttawa WalkleyOwen SoundParry SoundPembrokePeterboroughPort HopeRenfrewSarniaSault Ste MarieSimcoeSmiths FallsSt CatharinesStratfordSudburyThunder BayTillsonburgTimminsToronto DownsviewToronto EtobicokeToronto Metro EastToronto Port UnionWalkertonWawaWindsorWoodstock

Select Tentative Test Date *Please note this booking date is tentative due to COVID19 backlog, You might get booking on a short notice (within 24 hours) or maximum 4-6 weeks.

Upload Driver Licence Front Picture  (optional)Upload File Here

Canada

Terms and conditions and refund policy (optional)Please read allYes I have read all cancellation and refund policy. You have read and agreed to the terms and conditions, Refund, cancellation fee of $28.50, No Refund if road test booked.

Province (optional)