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Ouncil Your Employee ID* Car: (If applicable) Dept/Region* Approx Date Registered: Car Registration Number(s): Driver Details (Mr, Ms, Mrs, Miss, Dr, Prof. etc.) Title:* Surname:* Middle Initials:* First Name:* Other Names Known By: For example S M I T H 7 2 5 0 8 3 J 9 9 X L if issued by the DVLA. Driver/Licence Number:* Issuer/Country:* Date Entered UK (overseas licences only)* D Date of Birth:* D M / M Y Y Y Y D D / M M Y / Y Y Y / If your licence is issued by.

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