Test Booking Form

The Test Booking form is to be submitted to IAM House when you are ready for the IAM Test.

You will only be allowed to submit this Test Booking Form once. If you need to amend these details please contact IAM Test Department by clicking here.

If you prefer to complete the form and post it to IAM House this can be downloaded by clicking here.

Fields marked with an asterisk (*) must be filled in and until they are this form will not submit. If nothing happens when you press submit, please double check the form as any required fields not entered will be highlighted in red.

Your details

IAM Reference Number Membership or Associate Number)*
Title (Mr/Mrs/Ms/Other)*
First Name*
Surname*
Street 1*
Street 2
Town
County
Postcode*
Telephone Evening*
Telephone Daytime
Telephone Mobile
Email Address*
By providing my email address I consent to being contacted by email by the IAM. I understand that my details will not be passed to third parties.
Date of Birth (dd/mm/yyyy)*
Group name and Group Number (if known) that you have enrolled with

Vehicle details

Car, Motorcycle or Commercial*
Make & Model*
Registration No.*
Year*
Engine Size*
Manual or Auto*
Is the vehicle capable of sustaining the national speed limit?*
If the vehicle is not fitted with seat belts, due to being exempt, please tick the box (if applicable)
I confirm that I hold a full Driving Licence, valid for driving and/or riding in the UK/EU. I will provide a vehicle which is road legal, fully insured and has a valid MoT certificate (if applicable)*

Insurance details

Name of Insurer*
Type of Cover*
Private or Company*
Contact details if company cover
Driving Licence Number*
Valid from*
Valid to*

Driving Convictions

Have you within the last three years been disqualified or received penalty points as a result of a court conviction or a fixed penalty notice? Please also give details if the offence occurred more than three years ago and the order of the court became effective within the last three years, or the period of disqualification expired within the last three years.*

Data Protection

The Institute may, from time to time, write to you and/or make your name and address available to approved companies so that you may be informed about products or services which may be considered to be of interest to you. If you prefer not to receive such information, please tick the box.

Declaration

I declare that to the best of my knowledge and belief the answers given above are true. I agree that the Institute and Group and their officers and employees shall not be under any liability for any injury, damage or loss whatsoever and however caused and that I am bound by the Articles of Association of the Institute and any of its Rules and Regulations lawfully made from time to time. Please tick the box if you agree.*
Town, city or postcode area preferred for test
 
Validation code*
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