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Home
Services
Driving School
Vehicle Insurance
Breakdown Assistance
Car Tracking
Ambulance Services
About
News
Contact
Menu
DRIVING SCHOOL REGISTRATION FORM
Student name
*
Email Address
*
Phone
*
Gender
*
Gender
Male
Female
Date of birth
*
National ID NO.
*
Nationality
*
Nationality
Kenya
...Other...
How did you know about us?
*
County
*
Nest of kin
*
Nest of kin relationship
Nest of kin contact no.
*
Application type
*
Application type
First learner
Endorsement
Driving class
Driving class
BODABODA OPERATORS A2
BEGINERS/FRESH A2
TUKTUK A3
TAXI OPERATOR B1/B2
SALOON-MANUAL/AUTOMATIC B1/B2
PROFESSIOANL B3/D1
LIGHT TRUCK C1
Branch
*
Branch
Wajir
Madera
Do you have any health condition that can sometimes affect your driving?
*
Do you have any health condition that can sometimes affect your driving?
YES
NO
Do you have any previous driving experience?
*
The previous driving field is required
YES
NO
Select Your Suitable Class Schedule
*
Select Your Suitable Class Schedule
10:00AM
11:00AM
NOON
1:00PM
2:00PM
3:00PM
4:00PM
5:00PM
Passport photo
*
Choose File
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Delete uploaded file
Submit
