PTDI Application Form Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastDate of Birth: *Enter D.O.B in format: DD-MM-YYYYGENDER: *FEMALEMALEDRIVERS LICENCE NUMBER *LICENCE EXPIRY DATE: *Certificate of Character Number /Date* *If you do not have it as yet please type "PENDING"Are you comfortable driving a manual vehicle? *YESNONot SureLet us know if you can drive a manual car without assistance...Address: *Town/Parish *Main telephone number* *Please enter contact numberMobile telephone number* *Please enter contact numberAlternative telephone numberPlease enter contact numberEmail *EmailConfirm EmailDO YOU HAVE ANY MEDICAL CONDITIONS THAT WOULD HAMPER YOUR PARTICIPATION? *YESNOIF YES, PLEASE EXPLAIN: *Comment or MessageI authorise BDTAS to conduct the relevant checks to ensure that I am a "Fit and Proper Person" for the role of a driving instruction *I AgreeTick here if you are committed to a minimum of one day per year CPD (copy)I AgreeTick if you agree to abide by the TDI Code of PracticeI AgreeOnce you are trained, would you like us to publish your main telephone number and email address on our website? *YesNoMaybeOnce you are trained, would you like us to publish your latest standards check grade on our website? *YesNoWHAT WOULD YOU LIKE TO GAIN FROM THIS COURSE? *I authorise Barbados Driver Training Advisory Services (BDTAS) to take, use and copy photographs and films of me at the Training Course without objection or charge including commercial use thereof. ** I Agree* I Disagree*Photos and or Videos taken, may be used on our websites, social media pages and magazines for training or promotional purposes. HOW DID YOU HEAR ABOUT US? *FacebookGOOGLEInstagramRadio AdvertTwitterWord of MouthWorkDATE: *By ticking this box you agree to be bound by our "Terms of Service" You will be required to Sign the Program Rules & Indemnity Waiver, in the presence of our staff. *I AgreePhoneSubmit