Candidate Kermani Fevrier I declare that the use of the test vehicle for the

purpose of the test is fully covered by a valid policy of

Test category DRIVING Practical insurance which satisfies the requirements of the
legislation.
App ref 0 0 I normally live/have lived in the UK for at least 185
days in the last 12 months (except test ordered by a
Date 2/06/24 court
after disqualification).
Driver no. FEVRI00506wKJ9DP Time 1 0 : 0 0 A m

Test results
preference P
Post Email address
[email protected]

Instructor reg number 10356589 Vehicle reg. 1 5 6 3 5 3 5 Vehicle details

School car
Transmission Manual Accompanied by Ins Sup Int Other Dual control
✔️ ✔️

Eyesight test S Move off Positioning

Safety S D ✔️Normal driving S D

AS NS NS HS / DS

Control S✔️ D ✔️Lane discipline S D

 Manoeuvres

Reverse / Right Reverse park (road) Use of

mirrors
Pedestrian crossings S D
Signalling S
✔️ D
Reverse park
Forward park
(car park)
✔️Position / normal stop S D
Change direction ✔️S D
Control
S✔️ D Awareness planning S D
Change speed ✔️S D

Observation S✔️ D
Signals Clearance S

Necessary S D
D
Show me / Tell me ✔️
Correctly S D
Show me / Tell me S D Following distance S
Timed S D
Progress
D Use of
Controlled stop✔️ Junctions

speed S D
Controlled stop S D

Appropriate speed S D

Control Steering
Approach speed S D
S
Accelerator S D Observation S D
D
Clutch S D Turning right S D

Gears S D Turning left S D

Footbrake S D Cutting corners S D

Parking brake S D Judgement

© Crown copyright ID:INT07/19 DVSA – An executive agency of the Department for

07/2019 Transport Form Ref: DL25 D0018000-00
Overtaking Traffic signs D S D
D Undue hesitation S D D
Traffic lights S D Other road users S D
Meeting Road
Response to signs /
markings Traffic controllers
D signals
Precautions S D Total faults 0
Pass Fail None
Crossing S D
Ancillary controls S D

ETA Physical
Verbal ECO Control Planning

© Crown copyright ID:INT07/19 DVSA – An executive agency of the Department for

07/2019 Transport Form Ref: DL25 D0018000-00
 Independent Debrief
Witnessed✔️ Yes No
Sat nav Traffic signs
Driving

Identification IC3 male

Photocard ✔️

Passport

Show me / Tell me question(s)

Pull up on the left Additional information N/A

Weather conditions

1.Bright / dry roads ✔️4. Showers 7. Dull / dry roads 10. Windy

2. Bright / wet roads 5. Foggy / misty 8. Snowing 11. Other (describe)

3. Raining through test 6. Dull / wet roads 9. Icy

D255 Yes No Language English ✔️ Cymraeg

Fault descriptions

No faults great drive he was outstanding .

Examiner’s signature
X RICHARD ANRNOLD

© Crown copyright ID:INT07/19 DVSA – An executive agency of the Department for

07/2019 Transport Form Ref: DL25 D0018000-00