AUTOMOBILE & TOURING CLUB FOR U.A.E
APPLICATION FOR INTERNATIONAL DRIVING LICENCE Name Family name Company P.O.Box * Emirates * Nationality * D.of Birth Tel.Office Occupation Mobile * Fax E-mail Place of Birth U.A.E Lic No. * D of Issue Place of Issue * Type of Driving Lic. MOTOR CARMOTOR CYCLEHEAVY VEHICLEOTHERS Date of Expiry Mode of Payment (Select here) CREDITCARDCASHCHEQUEBANK DRAFT Card No. * Card Type VISAMaster CardAmerican ExpressDiner's ClubDiscover* Expiry * mm/yyyy Name on Card * Date IDL FEE
APPLICATION FOR INTERNATIONAL DRIVING LICENCE
Name
Company
P.O.Box
Emirates
Nationality
D.of Birth
Tel.Office
Occupation
Mobile
Fax
E-mail
Place of Birth
U.A.E Lic No.
Place of Issue
Date of Expiry
Mode of Payment (Select here)
Card No.
Card Type
* mm/yyyy
Name on Card
Date
REQUIREMENTS: 2 PASSPORT SIZE PHOTOGRAPHS COPY OF VALID UAE DRIVING LICENCE MAIL TO : P.O.BOX xxxxxx, DUBAI, UAE.