Application for a Driver CPC Bus or Truck Case Study Theory Test – Step 2 of Driver CPC Application for for a Driver Test Application a DriverTheory CPC Bus or Truck Car (B)/Motorcycle (A, A1)/Moped (AM), Tractor/Work Vehicleof (W),Professional Truck (C) or Bus Competence (D) – Note 6. – Note 1) (Certificate Theory Test Book now on www.theorytest.ie (Certificate of Professional Competence – Note 1) Please Note: A separate The fee for a Driver CPC Busbook or Truck Case Study Test – Stepwww.theorytest.ie 2 isat €72.00 You can now online at You can now book online www.theorytest.ie form is required for CPC The fee for a AM, Driver CPC or Truck Theory Test is The fee for a Category BW, C orBus D Theory Test is 45.00 144.00. (Part 1: 72.00 Part 2: 72.00) Applications. The 1890 fee for both a Bus & Truck combined TesttríisGhaeilge 216.00. To Book PHONE 606 106 (Lo–call Rate) Nó Líne Áirithinte 1890 606 806 Our operators are available FridayText 8.00am 6pm to 616 book216 yourLíne test and immediately confirm your 606 806 TO BOOK PHONE 1890 606from 106Monday Rate) Phone 1890 Áirithinte Ghaeilge 1890 To(Lo-call BooktoPHONE 1890 606to106 (Lo-call Rate) or TEXT PHONEtrí1890 616 216 appointment. Please have yourfrom Credit/Debit PPSN, Public Service Card, Learner Permit or Driving Licence to hand. (Note 5) Our operators are available Monday Card, to Friday 8.00am to 6.00pm to book your test and immediately confirm your nó Líne Áirithinte trí Ghaeilge 1890 606 806 Our operators areappointment. available fromPlease Monday to your FridayCredit 8.00am toand 6.00pm your test and immediately confirm your have Card PPSNtotobook hand. appointment. Please have yourof Credit/Debit Card,complete PPSN, Learner Permit DrivingCAPITALS Licence to hand. (Note 5) Please read both sides this form and the form inorBLOCK Please read bothread sides of this andform complete the formthe in BLOCK Please both sidesform of this and complete form inCAPITALS BLOCK CAPITALS Personal public service number (PPS No.) Personal public service number Personal public service number (PPS No.) Driver number (in BLACK on paper licence or 4d on card) Driver number (in BLACK PRINT–item 5 on licence) your Learner Permit) (in BLACK PRINT – 9 numbers – on your Driver number MANDATORY MANDATORY MANDATORY MANDATORY FOR CATEGORY C & D APPLICATION MANDATORY Stock number (in RED PRINT–1 Letter + 7 numerals–on your Learner Permit) Public Services Card (PSC) Card Number (12 digits from the back of the card) CATEGORY OF TEST MANDATORY (TICK ONE ONLY) CATEGORY BW CATEGORY AM MANDATORY Cars, Work Vehicles & Land Tractors Motorcycles & Mopeds (Please Tick) *Multiple Choice Questions (MCQ) CA TEGOR Y OF TEST CATEGORY OF (*MCQ) TEST CATEGORY C (Part 1) €72BUS (PLEASE TICK) BUS Trucks Bus Case Studies (Step 2)(*MCQ) €72 (Part 1) €72 TRUCK Bus Case Studies (Part 2) €72 TRUCK Case Studies (*MCQ) (Step 2) €721) €72 BUSTruck & TRUCK (Part Buses Bus & Truck Case Studies (Parts 2 combined) €144 CATEGORY D Truck Case Studies (Part 2) €72 PLEASE NOTE – Your First Name(s) and Surname(s) MUST match exactly the name and surname on your PSC card. YOUR DETAILS PLEASE PleaseNOTE notethe thedate date that you posted your application form. If you after 14 days you haveanNOT received an appointment confirmation, that you post that your you application. after 14 days NOTyou received confirmation,confirmation, please PLEASE NOTE the date post yourIfapplication. If afterhave 14 days have NOTappointment received an appointment please please contact 1890 606 106 IMMEDIATELY. Failure to do so could result in LOSS of fee or missed appointment (Note 2). YOUR DETAILS YOUR DETAILS contact 1890 606 106 IMMEDIATELY. Failure to do so could result in LOSS of fee or missed appointment (Note 2). contact 1890 606 106 IMMEDIATELY. Failure to do so could result in LOSS of fee or missed appointment. (Note 3) First Names Names First Title Ms/Miss/Mrs/Mr Ms/Miss/Mrs/Mr First Names Title Ms/Miss/Mrs/Mr Date ofBiBirth Day Date of Birth Address Address Country Country GenderM/F M/F M/F Gender Gender Surname Surname Surname Email Email Day Month Month Year Year Country of Birth Daytime Tel. No. Bi Daytime Tel. No. Bi County County IF PROVIDED, CONFIRMATION BY EMAIL ONLY IF PROVIDED, CONFIRMATION WILL BE BYWILL EMAILBE ONLY Mobile Tel.Mobile No. Bi Tel. No. Bi TEXT PROVIDED CONFIRMATION TEXT PROVIDEDCONFIRMATION 24 HOURS PRIOR TO PROVIDED TEST DATE CONFIRMATION TEXT Where would you like take(See your test? (Note(Note 2) 1) Where would you like to take yourtotest? locations overleaf Where would you like to take your test? (Note 2) is the earliest datebe you would be able totest? takePlease your test? Please allowapplication 10 days for(Note postal6 & application.(Note 7 & 10) What earliest date you tototake your allow 10 days for postal 10) 7 & 10) Day What is is the theWhat earliest date youwould would beable able take your test? Please allow 10 days for postal application (Note Day Month Day Month Year Month Year Year If theisabove date is not possible, test willfor beyou booked forclosest you onpossible the closest possible date. allow ausdate to book a datethat andistime If the above date not possible, a test will beabooked on the date. To allow us To to book and time bestthat for is best for If thewe above date notyou possible, a test booked at forwww.theorytest.ie you on the or closest possible date. To allowby us to book date that isatbest we recommend or alternatively telephone usingand the number thefor topyou, of this form. you,iswe recommend youwill book on-line www.theorytest.ie alternatively by telephone using the anumber attime the top of this form. you, recommend book on-line at be you book on-line at www.theorytest.ie or alternatively by telephone using the number at the top of this form. haveneed a special need orthat disability that may require special arrangements to take yourdyslexia, test e.g. other dyslexia, or other reading Do you haveIfayou special or disability may require special arrangements to take your test e.g. reading, hearing or or hearing difficulties, support can be provided, e.g.support, extendedyou time. willtoneed send medical evidence a school, language difficulties etc.? Note additional 9 Please note if you require additional willYou need sendto medical evidence from a from school, Do you have a special need or disability that may require special arrangements to take your test eg. Dyslexia, reading or writing difficulties doctor or on headed paper together with this application completed application Upon receipt we will you to make doctor or employer onemployer headed together with this completed form.medical Uponform. receipt willa school, contact youcontact toormake the or hearing issues? PLEASE NOTE - Ifpaper you require additional support, you will need to provide evidencewe from doctor (PleaseTick) Tick) the arrangements or for further information you may Email [email protected] (Please arrangements or forpaper further information may Email [email protected] (Please employer on headed together with thisyou application form. Upon receipt we will contact you to make the arrangements for your test. Tick) Please tick if you wouldtick likeiftoyou listen to the like test to listenIrish Please would to the test(Note English Russian Lithuanian Irish Polish English 8) through headphones in one of the following languages. through headphones in one of the following languages. Irish (Note 9) BW ONLY) English Please tick if you would like to listen to the test through headphones in one the following languages Irish / English / Polish (All of categories) Russian / Lithuanian (Category CREDIT/DEBIT CARD DETAILS CREDIT/DEBIT CARDPlease DETAILS ICREDIT/DEBIT wish to pay by Mastercard/Visa. charge my account. My card number is: CARD DETAILS (Note 9) Please charge to my account I wish to pay by Mastercard/Visa. Please charge my account. My card number is: I wish to pay by Mastercard/Visa. Please charge my account. My card number is: Expiry Date € Expiry Date Please charge to my account Expiry Date Please charge to my account Remember, with a Credit Card or Voucher you can Remember, with a Credit Card you € can book online immediately at www.theorytest.ie book online immediately www.theorytest.ie Remember,atwith a Credit Card you can book € online immediately Title Name of card holder Signature of card holder Date at www. theorytest.ie Title Name of card holder Title Name of card holder PAYZONE VOUCHER Voucher Number DETAILS (Note 6) Signature of card holder Signature of card holder Expiry Date Date Day Date Day Month Day Day Month Month Year Month Year Year Year 1. Driver Certificate of Professional Competence Since 10th September 2008 and 10th September 2009 you must hold a Driver Certificate of Professional Competence (Driver CPC) in order to work as a professional driver. A person who has already passed a driving test in licence category D or C and has taken out a driving licence before the relevant date will have an entitlement to the Driver CPC which is valid for a 5 year period. However you are required to complete one days training per year. The Driver CPC Case Study Theory Test is a specialist case study exam for those who wish to become either a professional Bus or professional Truck Driver. The test includes three case studies, with fifteen multiple choice questions for each case study and lasting two and a quarter hours. If you wish to apply for a Bus and Truck CPC Qualification, you are required to have passed both the Bus Theory Test & Truck Theory Test OR the combined Bus & Truck Theory Test. However you must complete the individual Driver CPC Case Study Tests – Step 2 for both Bus & Truck. For more information on Driver CPC please visit www.theorytest.ie or www.rsa.ie and click on the Driver CPC icon. 2. CPC Driver Theory Test Centres Abbeyfeale Athlone Ballina Cahirciveen Carlow Carrick-on-Shannon Castlerea Cavan Charleville Clifden Clonmel Cork Derrybeg Donegal Drogheda Dublin Central Dublin North Dublin South (Dun Laoghaire) Dublin West Dundalk Ennis Galway Kilkenny Killarney Letterkenny Limerick Longford Macroom Monaghan Mullingar Naas Navan Nenagh Portlaoise Skibbereen Sligo Tralee Tullamore Waterford Westport Wexford Wicklow Youghal 3. Make a note of the date you post your application and if after 14 days you have not received an appointment notification, please contact 1890 606 106 (Lo–call rate) immediately. If you don't you may miss your appointment and lose your fee. 4. Web Bookings: www.theorytest.ie 5. Phone Bookings: Call 1890 606 106 (Lo–call rate) Please have your Credit/Debit Card, Public Service Card, PPSN, Learner Permit or Driving Licence to hand. If you are not the card holder, the card holder must be present to authorise the use of the card. 6. Fax Bookings: Fax this completed application to 042-9368899. 7. Postal Bookings: Send this completed application form with your postal order or cheque to the following address: Driver Theory Test, PO Box 15, Dundalk, Co. Louth. Postal orders and cheques must be made payable to Driver Theory Test. 8. Required Documents: When you arrive to take the Driver CPC Bus or Truck Case Study Theory Test you will need to have a valid Public Service Card (PSC). The PSC number, name(s) and surname(s) must match exactly with the details on this application form. You must also present a valid, full Irish category D Driving licence or category D learner permit for Bus candidates, or a full category C Driving Licence or Category C learner permit for Truck candidates (or one from another EU/EEA member state or Switzerland. If you do not present a PSC card and a Driving licence or learner permit you will not be able to test and will lose your fee. 9. Irish Language: An Irish language version of this form is available. If you complete a form in Irish or an Irish language version of the form your Driver CPC Case Study Theory Test will be provided in the Irish language. 10.Cancellation/Reschedules: If you wish to cancel or reschedule your Theory Test appointment, you must give us at least 5 working days notice or you will lose your fee. For example, to reschedule or cancel a test booked for a Friday you must let us know on the previous Monday. 11. Test preparation: Candidates can revise from The Official Driver Theory Test Questions and Answers, Truck and Buses June 2017 Edition book, online subscription service or CD-ROM. If you have any queries about whether you need a bus or truck Driver CPC Theory Test please call us on 1890 606 106 (Lo–call rate). For more information on Driver CPC please visit www.theorytest.ie or www.rsa.ie and click on the Driver CPC icon.
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