Instructor Sign Up Form Instructor Sign Up FormPersonal DetailsFull Name: Date of Birth: Address Line 1: Address Line 2: City: Post Code: Mobile No.: Email Address: Upload a Professional Photo (Maximum file size allowed = 3 MB): Select an Image Driver Licence DetailsLicence Number: Version Number: Service DetailsWhich Area(s) Would You Like To Cover? North Shore South Auckland East Auckland West AucklandPlease Tick Each Course For Which You Can Legally Provide Driving Lessons:Licence Classes: Class 1 (Car Licence) Class 2 (Medium Rigid Vehicle Licence) Class 3 (Medium Combination Vehicle Licence) Class 4 (Heavy Rigid Vehicle Licence) Class 5 (Heavy Combination Vehicle Licence) Class 6 (Motorcycle Licence)Advanced Driving Courses: Defensive Driving Course Street Talk CourseEndorsements: Dangerous Goods (D) Forklift (F) Driving Instructor (I) Testing Officer (O) Vehicles That Run on Rollers (R) Vehicles That Run on Tracks (T) Vehicle Recovery Service (V) Vehicles That Run on Wheels (W)Bank Account Details For PayoutsAccount Name: Account Number: Submit
