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STUDENT / LEARNER DETAILS

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DOB

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Licence Type

Please SelectQLD Learner Interstate Overseas

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Address (Home) default pick up/ drop off

Address (School) if you're wanting a school pick up/ drop off

Address (Work) if you're wanting a work pick up/ drop off

Transmission

Please SelectManual AutoNot sure

Previous Lessons

Please SelectYes - had all 10hrs Yes - but only some lessonsNo - have not had any lessons

Logbook

Please Select0 - 30 hrs31 - 70 hrs71 - 100hrs Not required

Lesson Type

Please SelectStarter (1.5hrs or 2hrs) Amateur (10hrs) Advanced (20hrs) Casual (1hrs) Casual (1.5hrs) Casual (2hrs) Defensive Driving (half) Defensive Driving (full)#TestTime 1 (2.5hrs)#TestTime 2 (3.5hrs)#TestTime 3 (4.5hrs)Roadtrip (4hrs) Intensive (3hrs) Nightcrawler (1.5hrs - night lesson)

Lessons on weekends, public holidays our outside of our normal trading hours of Monday - Friday 9am - 5pm, will incur our full charge rate of a casual lesson

Preferred Days (tick all applicable)

Mon Tues Wed Thurs Fri Sat Sun

Preferred Times (tick all applicable - times may be flexible ie 330pm start will not incur surcharge)

9 - 11AM 12 - 2PM 3 - 5PM Before / After these times

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