DRIVER LICENCE APPLICATION

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GENDER - Please Select*
Have you been prescribed or are you taking any of the substances shown in the World Anti-Doping Agency listings?*
Do you have a physical problem with, or permanent difficulty in, using your arms or legs for driving?*
Do you have any congenital abnormality of any limbs, or amputation, or any other disability?*
Have you had any surgical procedures within the last 2 years?*
Have you ever been refused life assurance for medical reasons?*
Have you ever had any disease or disorder of the eye other than needing glasses or contact lenses?*
Are corrective lenses (contact lenses or glasses) required for driving?*
Have you ever been treated for a heart disease or a heart disorder?*
Have you ever been treated for high blood pressure?*
Have you ever been treated for diabetes?*
Have you ever been treated for severe giddiness, fainting spells or blackouts?*
Have you ever been treated for epilepsy?*
Have you ever been treated for seizures or any other neurological conditions?*
Have you ever been treated for a severe head injury which led to concussion or unconsciousness?*
I confirm all the information I have supplied is correct and I comply to the Super One General Terms & Conditions and 2027 Sporting Regulations*
I agree to notify the Super One Series promptly of any changes to the information provided on this form during the 2027 season.*

Get In Touch

Manley House Farm, Manley, Cheshire, England, WA6 0PF;
Tel: 01928 740090, Mob: 07774 646784,
EMAIL

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