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Driver License Check & Declaration
Driver name:	License number:
License Expiry: 01/01/1970	License Type:
Date of Birth: 01/01/1970	Conditions:
Photocopy of Front of License
Drivers Declaration:
1. I confirm the above scan is a true and correct copy of the front of my licence.

(Driver Signature)

Date: 01/01/1970

Photocopy of Back of Licence:

Driver's Declaration:

1. I confirm that above photograph is a true copy of back of my licence.

2. I further confirm that my licence is current, valid and not subject to cancellation, suspension or disqualification.

3. I agree to advise Auswide Transport Solutions immediately should there be any change to the status of my licence at any time after the signing of this declaration.

(Driver Signature)

Date: 01/01/1970

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