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Application for a Search of System

* Denotes Required Inputs

Part A

Applicant's Information

The above applicant wishes to apply to the Director of Vehicle & Drivers' Licensing for a search of the Vehicle and Drivers' Licence system to confirm:

Part B


I declare that the information provided on this form is true and correct. A false declaration is punishable by a fine of CI$2,000 and/or six months imprisonment.