PTDI Application Form -

Name *

First

Middle

Last

Date of Birth: *

Enter D.O.B in format: DD-MM-YYYY

GENDER: *

FEMALE
MALE

DRIVERS LICENCE NUMBER *

LICENCE EXPIRY DATE: *

Certificate of Character Number /Date* *

If you do not have it as yet please type "PENDING"

Are you comfortable driving a manual vehicle? *

YES
NO
Not Sure

Let us know if you can drive a manual car without assistance...

Address: *

Town/Parish *

Main telephone number* *

Please enter contact number

Mobile telephone number* *

Please enter contact number

Alternative telephone number

Please enter contact number

Email *

Email

Confirm Email

DO YOU HAVE ANY MEDICAL CONDITIONS THAT WOULD HAMPER YOUR PARTICIPATION? *

YES
NO

IF YES, PLEASE EXPLAIN: *

Comment or Message

I authorise BDTAS to conduct the relevant checks to ensure that I am a "Fit and Proper Person" for the role of a driving instruction *

I Agree

Tick here if you are committed to a minimum of one day per year CPD (copy)

I Agree

Tick if you agree to abide by the TDI Code of Practice

I Agree

Once you are trained, would you like us to publish your main telephone number and email address on our website? *

Yes
No
Maybe

Once you are trained, would you like us to publish your latest standards check grade on our website? *

Yes
No

WHAT WOULD YOU LIKE TO GAIN FROM THIS COURSE? *

I authorise Barbados Driver Training Advisory Services (BDTAS) to take, use and copy photographs and films of me at the Training Course without objection or charge including commercial use thereof. *

* I Agree
* I Disagree

*Photos and or Videos taken, may be used on our websites, social media pages and magazines for training or promotional purposes.

HOW DID YOU HEAR ABOUT US? *

DATE: *

By ticking this box you agree to be bound by our "Terms of Service" You will be required to Sign the Program Rules & Indemnity Waiver, in the presence of our staff. *

I Agree