DTMAD Participant Registration Please complete as many questions as possible and we will be in touch. Question Title * 1. Full Name (Given name and surname) Question Title * 2. Address Address Address 2 City/Town ZIP/Postal Code Email Address Phone Number Question Title * 3. Country of origin Question Title * 4. Language spoken at home Question Title * 5. Type of visa held in Australia Question Title * 6. Date you arrived in Australia Date Date Question Title * 7. Did you hold a drivers license in your country of origin? Yes No If yes, is it still current? Question Title * 8. Do you have current L Plates.(to be eligible for the program you must have passed the written theory test and have current L plates) Yes No Question Title * 9. Have you had any previous professional driving lessons in WA? Yes No Question Title * 10. Do you have access to a car to practice?(this program will provide you with a professional instructor and car, however it is beneficial to also have access to a car to practice) Yes No Question Title * 11. Should you receive lessons and pass your license, how will this impact on you and/or your family? Done
