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Registration request for a Theorie examination
Class B driving license in Netherlands
Note: Please fill in the data in Dutch to match your ID
Naam
Achternaam
Geboortedatum
..............
Postcode
Huisnummer
Straatnaam
Stad
Provincie
Email adres
Telefoon
Examenlocatie
Met tolk With translator
De taal
Examen data tussen:
I would like the exam to be between the following dates:

startdatum
From date
Einddatum
From date
Betaalmethode
Noteren

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