SOUTH AFRICAN LEARNERS LICENCE BOOKING SIGN-UP FORM>> Dear Visitor, welcome to our online licence booking form. You have just decided to simplify your life & Free Up some of your valuable time! Allow SA Learners to assist you with taking your first step towards independence on the Road. Booking your licence test – well it should be a simple & easy process shouldn’t it? The reality is not so simple. If you are one of the fortunate few who makes the phone call at the right time, or pop's in to the traffic department at the best possible moment (small queue for instance) if not there will be guaranteed frustration & endless headaches. We would like to offer you the opportunity to avoid all this. For a once-off fee of R199 you will be able to consider your licence booked!!! Its that simple, we will contact you within 24 hours with your booking details. ********************************************************************************* PLEASE TAKE NOT OF THE FOLLOWING SA Learners Guarantees you a booking within 4 working days or a full refund - this applies if you do not insist on a testing station or preferred dates. -- YOU HAVE NOTHING TO LOOSE!!! --- ********************************************************************************* LEARNE MORE ABOUT OUR LICENCE BOOKING SERVICE: Should you wish to find out more about the Licence Booking Service on offer, then we invite you to click on the below links to learn more......           Why Use SAL to Book Your Licence!  ||  The Booking Process!  ||  The Booking Payment Process! ********************************************************************************* Thank you for your Time!!! User Name:Password:Re-Type Password:** LICENCE BOOKING APPLICATION FORM Title:First Name: <Select> Mr Mrs Miss Dr Prof ****** <Select> Western Cape Northern Cape Northern Province Gauteng/Pretoria Kwazulu Natal Free State Eastern Cape Mpumulanga North West Province Last Name:E-Mail: Contact Number:Province:Address: Physical:Address: Postal: (If Different from above)Home Language:* <Select> English Afrikaans Ndebele Xhosa Zulu Northern Sotho Sesotho Setswana SiSwati Tshivenda Xitsonga Gender:* Male Female *ID Number:*Date of Birth:***Gauteng & Pretoria Only** How did u hear about us? <Select> From a friend IDrive Jet Club Ananzi Google Aardvark Yahoo MSN Mweb Other Search Engine School Driving School Website E-Mail Other * Code:Which licence would you like to book for?* <Select> Drivers Learners <Select> B - Light MotorVehicle A1 - Motorcycle Under 125cc A - Motorcycle Over 125cc <Select> Gauteng Tshwane Ekurhuleni - East Rand West Rand Sedibeng - Vaal Rayton / Bronkhorstspruit Learners Expiry:Area for Booking: Extra Info:Preferred Times: <Select> AM PM ***** ** NB!! Please include in the box provided below any dates or Test stations which would not be suitable for you. Otherwise we will select the first available date at the first available test station in the area which you selected. Provide any extra information we should know about. ** <Select> Langlaagte Randburg Licence Randburg Learners Sandton Westhoven (Auckland Park) Funda Centre Xavier Junction Roodeport Testing Roodepoort Licensing Midrand Centurion Mabopane Temba Waltloo Alberton Germiston Edenvale Kempton Park Bedfordview Boksburg Benoni Brakpan Springs Nigel Krugersdorp Randfontein Westonaria Bronkhorstspruit Rayton Vanderbijlpark Vereeniging 3 Rivers Heidelberg Meyerton-Dri <Select> Langlaagte Randburg Licence Randburg Learners Sandton Westhoven (Auckland Park) Funda Centre Xavier Junction Roodeport Testing Roodepoort Licensing Midrand Centurion Mabopane Temba Waltloo Alberton Germiston Edenvale Kempton Park Bedfordview Boksburg Benoni Brakpan Springs Nigel Krugersdorp Randfontein Westonaria Bronkhorstspruit Rayton Vanderbijlpark Vereeniging 3 Rivers Heidelberg Meyerton-Dri Preferred Testing Station: Preferred Testing Station: * * Option 1 Option 2 Voucher Details: (Not required unless otherwise you have been provided with this)