DE-36 Driver License and ID Card Request form - International Center
DE-36 Driver License and ID Card Request form - International Center
DE-36 Driver License and ID Card Request form - International Center
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WRITTEN/ORAL TEST RESULTS<br />
CDL WRITTEN/ORAL TEST RESULTS<br />
General Knowledge<br />
Air Brakes<br />
Enter Date <strong>and</strong> Pass or Fail Test Score<br />
Enter Test # for Chauffeur, Moped, Motorcycle,<br />
____/____/____ P______ F______ ____/____/____ P______ F______<br />
<strong>and</strong> Recreational Double tests.<br />
____/____/____ P______ F______ ____/____/____ P______ F______<br />
Operator Audio Test Audio Test<br />
_____/_____/_____ P______ F______ ____/____/____ P______ F______ ____/____/____ P______ F______<br />
_____/_____/_____ P______ F______ ____/____/____ P______ F______ ____/____/____ P______ F______<br />
Audio Test Combination Vehicle Passenger<br />
_____/_____/_____ P______ F______ ____/____/____ P______ F______ ____/____/____ P______ F______<br />
_____/_____/_____ P______ F______ ____/____/____ P______ F______ ____/____/____ P______ F______<br />
Road Sign Test Audio Test Audio Test<br />
_____/_____/_____ P______ F______ ____/____/____ P______ F______ ____/____/____ P______ F______<br />
_____/_____/_____ P______ F______ ____/____/____ P______ F______ ____/____/____ P______ F______<br />
Moped Double Trailers School Bus<br />
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______ ____/____/____ P______ F______<br />
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______ ____/____/____ P______ F______<br />
Motorcycle Audio Test Audio Test<br />
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______ ____/____/____ P______ F______<br />
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______ ____/____/____ P______ F______<br />
Recreational Double<br />
Tanker<br />
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______<br />
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______<br />
Chauffeur<br />
Audio Test<br />
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______<br />
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______<br />
Minor Restricted <strong>License</strong><br />
Hazardous Materials (No Oral Test or Foreign Language Test Allowed)<br />
Segment 1 School # ______ Issued ___/___/____<br />
____/____/____ P_____ F_____ ____/____/____ P_____ F_____<br />
DA Letter dated<br />
____/____/____<br />
If necessary, attach an additional <strong>DE</strong>-<strong>36</strong> to record more test scores.<br />
____/____/____ P_____ F_____ ____/____/____ P_____ F_____<br />
<strong>DE</strong>-<strong>36</strong> (10/12)<br />
Authority granted under Public Act 300 of 1949, as amended.