FORM 1 – APPLICATION FORM FOR A DRIVING TEST
Affix recent passport
size photograph of
applicant here
UGANDA POLICE FORCE
The Traffic and Safety Act. 1998. 361
FORM 1 – APPLICATION FORM FOR A DRIVING TEST
(To be completed by the Instructor)
Station of application:
A. Details of the learner driver to be tested.
i. Name
ii. Gender: Male Female
iii. Date of Birth
iv. Address:
v. Contact Telephone:
vi. Give details of candidate’s learner driving permit (in case of driving permit
extension use details of the current driving permit)
a. Permit Number
b. Date if issue (most recent group)
c. Date of Expiry:
vii. Indicate group(s) of major vehicle(s) the learner driver wishes to be tested to
drive (incase extension, Indicate group(s) of
motor vehicle(s) currently licensed to drive
viii. Indicate whether the learner is undertaking the driving test for the group(s) you
have indicate in (vii) above for the first time or he/she is repeating the same test(s).
DRIVING TEST FOR APPLICANTS
REPEATING A DRIVING
TEST
New
Applicant
Theory
Practical Number of previous test Date of most
attempts previous test
attempts
Tick in the appropriate cells.
B. Particulars of driving school where the learner driver enrolled for driving
lessons.
Particulars of driving school.
a. Name of School
b. License Number
c. Postal Address
d. Physical Address
e. E-mail Address
f. Contact Telephone Number(s)
C. Particulars of Test Vehicle (To be provided by the learner driver/instructor)
I. Make of vehicle: Body description:
II. Registration Number
III. Transmission (indicated by ticking): Manual: Automatic:
Semi-Automatic: Electrical:
IV. Adaptation of special use: Yes No
V. If yes, give special details of adaptation:
D. Declarations.
(i) Driving Instructor(s)
I/we declare to the best of my knowledge and belief that the learner driver was
trained by me/us and in accordance with the established drivers training standards.
Signature(s) and name(s) of Instructors(s)
(i) ( ) Date:
(ii) ( ) Date:
(iii) Learner Driver
I declare to the best of my knowledge and belief that information provided by me in
this application form is correct. And that I also understand it is offense to use wrong
information for the purpose of undergoing the driving test.
Signature: Date:
****also attach candidate’s certificate of completion of training issued by the
driving school.
