DRIVE Lite – HVCBA

Contact Details

Business Details

Are you GST Registered? —Please choose an option—YesNo Is an Accountant used? —Please choose an option—YesNo


Working arrangement I own the schoolI am a subcontractor / Employee

Tranmission Type: —Please choose an option—AutomaticManual Are disabled driver controls fitted? NoYes
Do you need to enter information for another vehicle?—Please choose an option—YesNo
[group extracar1]
Tranmission Type: —Please choose an option—AutomaticManual Are disabled driver controls fitted? NoYes
Do you need to enter information for another vehicle?—Please choose an option—YesNo
[/group]
[group extracar2]
Tranmission Type: —Please choose an option—AutomaticManual Are disabled driver controls fitted? NoYes
Do you need to enter information for another vehicle?—Please choose an option—YesNo
[/group]
[group extracar3]
Tranmission Type: —Please choose an option—AutomaticManual Are disabled driver controls fitted? NoYes
[/group]

Membership Details

Can we list you on our publicly accessed website? YesNo Receive our email updates & News? YesNo

Area(s) which you service: SydneyHunterNorthSouthSouth WestWest
Languages you speak and understand (other than English):
Do you have NRMA roadside assist or similar? —Please choose an option—YesNo
Are you a current Older Driver Assessor?—Please choose an option—YesNo
Are you an HVCBA Assessor?—Please choose an option—YesNo[group hvcba-group][/group]
Are you Keys2drive Accredited?—Please choose an option—YesNo[group k2d-group][/group]
Are you Driver Rehabilitation qualified? —Please choose an option—YesNo
Do you have a Cert IV in Driving Instruction?—Please choose an option—YesNo
[group certdi-group][/group]
Do you have a Cert IV in Training and Assessing?—Please choose an option—YesNo
[group certta-group][/group]
Do you teach the NSW ‘Safer Drivers Course’?—Please choose an option—YesNo
[group safer-group]As a facilitator of Module 1? —Please choose an option—YesNo As Module 2 coach? —Please choose an option—YesNo[/group]
Were you referred to NSW DTA through an existing member?
I have read and agree to follow the NSW DTA MemberTerms & Conditions.
Please make payment through direct deposit and enter your receipt number below. Bank details: St George 112 879 a/c NSW Driver Trainers Association 429 731 615.