Licenses Registration Form

Full Name	Last 4 Digit IC Number	Course Name	Status
Lorem Ipsum	2983	Automatic Car (DA)	Pass
Lorem Ipsum	2983	Automatic Car (DA)	Pass
Lorem Ipsum	4563	Car Manual (D)	Pass
Lorem Ipsum	2983	Automatic Car (DA)	Pass
Razak bin Osman	2983	Automatic Car (DA)	Pass
Razak bin Osman	2983	Automatic Car (DA)	Pass
Razak bin Osman	2983	Automatic Car (DA)	Pass
Razak bin Osman	0000	Car Manual (D)	Pass

Full Name

Last 4 Digit IC Number

Course Name

Status

Lorem Ipsum

2983

Automatic Car (DA)

Pass

Lorem Ipsum

2983

Automatic Car (DA)

Pass

Lorem Ipsum

4563

Car Manual (D)

Pass

Lorem Ipsum

2983

Automatic Car (DA)

Pass

Razak bin Osman

2983

Automatic Car (DA)

Pass

Razak bin Osman

2983

Automatic Car (DA)

Pass

Razak bin Osman

2983

Automatic Car (DA)

Pass

Razak bin Osman

0000

Car Manual (D)

Pass

Register Now!

Dear customer, please remember to upload (1) IC front and back and (2) ID Photo with white background

Full name *

Nationality *

Malaysian

Non-Malaysian

I'm currently holding a valid license

License Course - Malaysian with Valid License

License Course - Malaysian without Valid License

License Course - Non-Malaysian with Valid License

License Course - Non-Malaysian without Valid License

Payment Type *

Full Payment

Partial Payment (+...)

Phone number (WhatsApp-Enabled) *

Please enter a valid number that can be contacted via WhatsApp.

Email *

Address

The Address is the same as registered on my IC

Pickup Address

The Pick Up Address is the same as the Registered Address on IC

Upload (1) IC Front and Back *

Maximum upload file size: 5 MB (jpeg/png/pdf file only)

Upload (2) ID photo with the white background *

Maximum upload file size: 5 MB (jpeg/png/pdf file only)

Upload (3) License Front and Back *

Maximum upload file size: 5 MB (jpeg/png/pdf file only)

I hereby agree to make the payment as stated and acknowledge that it is non-refundable.

Product total

Options total

Grand total

SERI TEBRAU

ULU TIRAM

Register Now!

Dear customer, please remember to upload (1) IC front and back and (2) ID Photo with white background

Empower your journey with Pdrive and navigate towards confidence, safety, and driving success.

SERI TEBRAU

ULU TIRAM

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