TARSI DRIVER REGISTRATION
& PROFILE FORM

DRIVER PORTAL

Full Name

Date of Birth

National ID Number (NIDA):

Gender

Marital Status

Nationality

Region / District of Residence

Physical Address:

Mobile Number

Level of Education

Languages Spoken:

Driving License Number:

License Class

Expiry Date

Years of Driving Experience

Certified by LATRA

Yes

Employed

Yes

Name of Next of Kin

Relationship:

Contact Number:

Address

Upload Passport Size Photo

Photo

Upload Driving License Copy

Document/photo

Upload National ID Copy

Document/photo

Upload Certificates (if available)

Document/photo

I hereby declare that the information provided above is true and accurate to the best of my knowledge.