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Get UK DVLA FEP1 2012

, Mrs, Miss, Other?) First Name(s): Driver No: (if known) Address: Telephone Number(s): Home Mobile Postcode Email PART B: ABOUT YOUR GP AND YOUR CONSULTANT GP’s Name and Address Consultants Name and Address Dr: Title: Department: Postcode: TEL No: Postcode: (Including dialling code) TEL No: (Including dialling code) Date last seen by GP Date last seen by Consultant (For this condition) (For this condition) If you have more than one consultant, please give their name, depart.

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