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Please complete the following details. You must complete the fields marked with an asterisk.

Suffolk County Council will not forward these details to any other organisation or individual, but you may from time to time receive information about road safety related issues and promotions. We may also contact you directly about your Pass Plus course.

Name *
   
Date of birth *
  You must be aged 17-19 years to be eligible for this scheme.If you are aged 16 and a driver with disabilities please register by telephoning: 0845 606 6067
   
Date test passed *
  If you cannot remember the exact date please enter the month and year. You must complete your Pass Plus within one year of completing your practical driving test and before your 20th birthday.
   
Address
   
Postcode *
   
   
Please provide all of the following if possible - you must provide at least one of these contact details .
   
Telephone
   
Mobile
   
Email
   
How did you learn about our Pass Plus promotion?
   
 

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