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De Licence number Licence expiry date day Phone number / month / Date of lesson day / month Manual year Lesson finish time Lesson start timer / year hour / minutes hour / minutes Note: Instructors may use a prepared lesson plan When a prepared lesson plan is used, only this page requires completion. Instructors must retain prepared lesson plans for audit purposes. Has a prepared lesson plan been used? No Yes Plan reference number Pre Preparation (Complete prior to start.

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