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 or Motorcycle*

Car
Motorcycle

 

Make & Model*

 

Registration No.*

 

Year*

 

Engine Size*

 

Manual or Auto*

Manual
Auto

 

Is the vehicle capable of sustaining the national speed limit?*

Yes
No

 

If the vehicle is not fitted with seat belts, due to being exempt, please tick the box (if applicable).

 

Seat Belts

Seat Belts

 

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)*

 

Driving Licence

Driving Licence*

 

Insurance details

 

Name of Insurer*

 

Type of Cover*

Third Party
Third Party, Fire & Theft
Fully Comprehensive

 

Private or Company*

Private
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.*

 

Conviction Yes No

Yes
No

 

If YES, please give details

 

Offence

 

Period of disqualification (if applicable)

 

Date of conviction

 

Details of incident(s)

 

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.

 

Data Protection

Data Protection

 

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.*

 

Declaration

I Agree*

 

Town, city or postcode area preferred for test

 

Enter Security code you see here