Fillable Printable Driving Licence Application Form - Isle of Man

Driving Licence Application Form - Isle of Man

Please complete the form using block capitals and black ink. Please take the completed form to the nearest Post Office

for forwarding to the processing centre or post to: Isle of Man Post Office, Licensing Agent, PO Box 367, Douglas, Isle of Man,

IM99 3HA. Isle of Man Post Office Licensing Department can be contacted on 698525

2 months in advance.

Full licence applications can be made

Previous licence number

Previous licence type

Full

Provisional

Manual Automatic

Previous groups entitlement

Date for licence to start

Yes No

Liver

Pancreas

Heart

Would you like an inclusion on your licence for organ donation consent ?

Any part of my body

or tick appropriate boxes for consent

Kidneys Eyes

For therapeutic purposes (transplant)

Lungs

For medical education or research

Type of licence required

Full Provisional Duplicate

If Yes which country

Please state date when you became a resident in the Isle of Man

D D M M Y Y Y Y

Please state reason for duplication

Details of new groups to be added

or removed

Address

Place of birth

Title (Mr, Mrs, Miss, Ms, Other)

Telephone number

Date of birth

Postcode

Surname

Forename (s)

D D M M Y Y Y Y

Have you lived in another country in the past 12 months?

metres in case of a licence for pedestrian controlled vehicle or mowing machine?

Can you read a number plate in good daylight, with or without glasses or corrective

lenses from 20.5 metres (67 feet) for figures 79.4mm high ( 3.1/8”), or from 12.3

Yes

Department of Infrastructure

Driving Licence Application Form

Form DL1

New, Renewals, Additions,

Issue date: 1st April 2014 Form DL1

Please answer all questions on the reverse of this application form.

Signature Date

D D M M Y Y Y Y

request please do so in writing to the Vehicle Licensing Department and enclose your current licence.

been withdrawn and that the details will be passed onto the N.H.S. Organ Donor Register. If you wish to cancel this

I understand that such a statement will be conclusive evidence that I have made such a request and that it has not

2 months in advance.

Upgrades and Amendments

Amendment

Form DL1

Yes

I certify that the photograph which I have signed is a true likeness of the applicant whom I have known

Signature Date

Are you disqualified by any Court from holding or obtaining a licence?

Yes

on your licence? Or 11 years in drink or drug related incidents?

If yes give details

Date

Offence

Court

Date

Offence

Court

Has any Court in the last 4 years ordered a conviction to be endorsed

Have you ever had a licence revoked for medical reasons?

Please provide details for any questions answered “Yes” and put additional information on a separate sheet if required

No Yes

Has a Doctor advised you not to drive?

No Yes

Are you without hand, foot or do you have defect in limb

Movement or power?

Was a limb disability mentioned on previous applications and if so

has it become worse since then?

Do you have diabetes that is treated by insulin? No Yes

No Yes

Do you suffer from diabetic eye problems or episodes of

hypoglycaemia likely to cause problems when driving?

Do you suffer from epilepsy or sudden attacks of giddiness/fainting?

No Yes

Have you been treated for drug addiction within the last 3 years?

No Yes

No Yes Have you been fitted with a cardiac pacemaker?

Do you suffer from any other disability which could affect your

fitness to drive either now or in the future?

No Yes

Certification of Photographs

Medical Declaration

personally for a least 2 years.

Profession

Phone

Date

Declaration

We will only issue you with a licence if the address you give is the address where

you reside in the Isle of Man. Please include with your application:

1. Your last licence including paper part if applicable

4. Proof of age must be supplied by 16 year olds

3. Suitable identification (See information sheet note 3)

2. Your test certificate if applicable

5. Photograph (See information sheet note 4)

6. Licence fee

Licences issued on medical grounds are subject to a reduced term of 3 years and also a reduced fee. If any of the legal

or medical questions have been answered “Yes” please take the form to the D.o.I. at Sea Terminal Buildings.

I understand that it is a criminal offence to give false information in order to obtain a driving licence. I declare that the

information given is true and correct to the best of my knowledge and that I am not disqualified by reason of age or

otherwise from holding or obtaining the licence I am applying for.

Please keep your

signature in the

box provided

D D M M Y Y Y Y

Organs

Post

ID Type

counter

Photo

Lic.type

Fee paid

Issuer

Official use only

If any of the questions below are answered “Yes” then please forward the completed application to D.o.I., Licensing Office,

P.O. Box 363, Douglas, Isle of Man, IM99 3EZ

number

Name

Address

Signature Years Known

Department of Infrastructure

Driving Licence Application Form

Form DL1

Information Sheet

Form DL1

Note 1 Costs

aged 67 the fee will be £30.00 valid for 8 years

aged 68 the fee will be £27.00 valid for 7 years

aged 69 the fee will be £24.00 valid for 6 years

aged 70 the fee will be £21.00 valid for 5 years

aged 71 the fee will be £18.00 valid for 4 years

aged 72 or over the fee will be £15.00 valid for 3 Years

aged 66 the fee will be £33.00 valid for 9 years

Full Licence: aged under 66 the fee will be £36.00 valid for 10 years

Provisional Licence £22.00

Subsequent provisional licence £18.00

Exchange Licence (removing endorsements) £18.00

Exchange Licence (adding groups) £18.00

Duplicate Licence £18.00

A licence issued on medical grounds for reduced term 3 years: £15.00

1 or 2 years £10.00

Note 2 Payment

Please make cheques payable to IOM Post Office unless you are returning the application to the D.o.I. and then it

will be payable to the Isle of Man Government. Please ensure the cheque is crossed and that your name and address

is written on the reverse of the cheque.You may also hand in at any Post Office counter and payment can be made

by debit card, cheque, cash or post order. Emergency transactions will incur a further £33.00 fee.

Note 3 Identification

The address must be the address where you reside in the Isle of Man. A business, club or hotel address cannot be

accepted if you do

not reside there. First time provisional, new applications and replacement for a lost licence require

two forms of identification including proof of age and photographic identification i.e. Birth certificate and passport. An

endorsed photograph (see below) may be used for photographic identification. Applicants who are renewing can use

both parts of their present licence as proof of identity. The present licence will be forwarded with the application.

Bank cards will not be accepted as proof of identity without exception. Proof of address will be required to collect an

emergency licence.

Note 4 Photographs

All applications must include a recent colour photograph passport size and style taken full face without hat or dark

glasses printed on photographic paper and unmounted. Please put the name of the applicant on the reverse of the

photograph.

A photograph being used as proof of identity must be endorsed on the reverse with "I certify that this is a true

likeness of then Title or name". The endorser must complete the relevant section on the application form. The

endorser may be a British Citizen, British Sub

ject or citizen of the commonwealth, who has known the applicant for at

least 2 years. He or she should be one of the following, a Member of the Legislature, Justice of the peace, Minister of

Religion, Advocate, Bank Officer, Police Officer, School Teacher, established Civil Servant, Doctor or person of similar

standing. Please note, a person of similar standing will only be accepted at the discretion of the licensing office. A

relative can not endorse a photograph. The Licensing Office will check authenticity of countersignatures and in

certain cases may ask for further documentary evidence of identity.

Form DL1 Notes

Changes to Personal Circumstances

Please inform the Licensing Office of any changes to personal circumstances using form DL1 for

medical reasons or form DL2 for changes to name or address. The address must be the address

where you reside in the Isle of Man. Failure to notify any relevant changes of medical conditions is

a criminal offence, punishable by a fine of up to £1,000.

Age Related Licence Applications

Age 16 Invalid carriage. An invalid carriage is a vehicle not exceeding 254Kgs in weight unladen,

which is specially designed and constructed and not merely adapted, for the use of a

person suffering from some physical defect or disability and used solely by such person

Agricultural Tractor

Motor Car (which includes a goods vehicle not exceeding 3050Kgs in weight unladen)

Learner Motor Bicycle not exceeding 125cc, Mowing Machine, Pedestrian Controlled vehicle

Age 17

Motor Bicycle (not being a learner cycle) with or without a sidecar attached.

Age 21

Any other vehicle, and any PSV (Minibus or Bus). A licence from the Road Traffic

Licensing Committee is also required to drive a Public Service Vehicle.

Provisional Licence Conditions

Must Display the prescribed L plates clearly at the front and rear of the vehicle and

When Driving change to R plates when you pass your test.

Until you pass the test, you must be accompanied by a qualified driver over

the age of 21 who has had a full licence for the class of vehicle you are

driving for 3 years or more.

Must Not Carry a passenger when riding a solo Motor Bicycle until you pass your test.

Drive a vehicle to which a trailer is attached (other than an agricultural vehicle

or if it is required for the instruction and test).

Drive at more than 50mph.

R Plate Restrictions for Newly Qualified Drivers

The holder of a temporary restricted FULL licence must for the 12 months from issue:

a. Display the prescribed R plates clearly at the front and rear of the vehicle.

b. Not drive at more than 50mph.

Driving Vehicles Over 3,500Kgs, Minibuses and Buses

If you have passed your test in a car after 31st December 1999, a provisional licence for

a. Category C1 allows you to learn to drive medium sized vehicles (over 3,500Kgs up to 7,500Kgs)

and a trailer C1+E.

b. Category C allows you to learn to drive large vehicles (over 3,500Kgs ) and a trailer C+E.

c. Category D1 allows you to drive large minibuses (with up to 16 passenger seats) and a trailer D1+E.

d. Category D allows you to learn to drive buses (with more than 8 passenger seats) and trailer D+E.

Penalties

A person who for the purpose of obtaining a licence, knowingly makes a false statement, is liable to

a fine not exceeding £1,000.

A person who uses a motor vehicle on public roads without there being in force a policy of insurance

or a security against third party risks in respect of personal injury is liable to a fine not exceeding

£2,000 and is also liable to be disqualified from holding or obtaining a licence.

3 or 4 wheeled cycle

Note 5 Driving while we have the application form

Full Licence applicants can continue to drive unless they have been disqualified or advised by a Doctor

not to drive. Also those who have expired licences must not drive until you receive your new one, so please

apply in advance for renewals.

Provisional Licences. First Time applicants must not drive until they receive their licence. If renewing

then you may continue to drive as long as your licence is still in date otherwise you must wait for your new

licence to arrive.