/ The Highland Council / Pass Plus Scheme

Pass Plus Scheme

Application Form / Bileag Tagraidh

To apply for the Pass Plus Scheme Grant, please complete the form below. Fields in RED are mandatory.

Title (Mr Mrs Ms Miss) *

First Name *

Surname *

Address *

Postcode *

Email Address *

Daytime Phone No *

Gender * Male Female

Driving Licence No *

Date Passed Driving Test *

Test Centre *

Instructor *

Date *

The information on this form is required to enable a response to be made to any comments or complaints provided. The information will be held by the Highland Council under the terms of the Data Protection Act 1998 and will not be used for purposes unrelated to those for which the information was gathered.