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. Unless you are one of the fortunate few who makes that phone call at the right time 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 (Learners Licence) R299 (Drivers Licence) you will be able to consider your licence booked!!! Its that simple, we will contact you within 1 - 4  days  with your booking details. No unnecessary QUES!!! - Please note Code 10 Licences have a booking fee of R499!!! ********************************************************************************* PLEASE TAKE NOTE 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 - this means we will secure you the first available test date at a test station within your area ie: JHB/ Pretoria / East Rand / Westrand. When you sign-up below please select the test stations in order of preference where you would like to do your test!!! -- YOU HAVE NOTHING TO LOSE!!! --- ********************************************************************************* LEARN MORE ABOUT OUR LICENCE BOOKING SERVICE: Should you wish to find out more about the Licence Booking Service on offer, we invite you to click on the links below 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 or Traffic Reg:*Date of Birth:***Gauteng & Pretoria Only**--> Foreign Nationals – please provide your ‘Traffic Registration Number’ < --– this may be obtained from your nearest traffic department when completing a form & providing your Valid passport! 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 Code 10 - Heavy MotorVehicle <Select> Gauteng Tshwane Ekurhuleni - East Rand West Rand Sedibeng - Vaal Rayton / Bronkhorstspruit Learners Expiry:Area for Booking: Extra Info:**** <Select> Langlaagte Randburg Sandton Westhoven (Auckland Park) Funda Centre Xavier Junction Roodeport 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 Carletonville <Select> Langlaagte Randburg Sandton Westhoven (Auckland Park) Funda Centre Xavier Junction Roodeport 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 Carletonville Preferred Testing Station:**Option 1Option 2Voucher Details:(Not required unless you have been provided with this) <Select> Langlaagte Randburg Sandton Westhoven (Auckland Park) Funda Centre Xavier Junction Roodeport 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 Carletonville <Select> Langlaagte Randburg Sandton Westhoven (Auckland Park) Funda Centre Xavier Junction Roodeport 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 Carletonville Option 3Option 4**Please select in order of preference which test stations you would prefer to take your test at. All test stations are grouped by the area in which they are located, so for instance if you are looking for a booking in PTA then Rayton & Bronkhorstspruit would also be options as they are not far from PTA central +- 20 – 30 min / & they are quieter..TYPE OF EXTRA INFORMATION WE REQUIRE:-- You need to be available for fingerprints & Eye test immediately after we secure your booking. Please indicate if this is not possible so we may schedule your appointment when you would be available.-- Any dates you will not be available – Please state clearly ‘Not available for the following dates’-- Any Test Stations not suitable – Please state clearly ‘Not the following test stations’ -- Urgency of your booking request – if very urgent we will secure the earliest date available at 1 of your preferred options. Otherwise indicate you would be willing to wait for a date at a specific test station – this is NB!-- Provide ANY extra information we should know aboutPreferred Times: <Select> AM PM