Licence Replacement Book Form
Step 1 of 3: Submit
Step 1:
Please complete the form in full and submit.
Step 2:
Please hand in your original licence book if it is being renewed due to damage/name change/address change.
Lost Licence
Step 1:
Please complete the form in full and submit.
Step 2:
Please ensure you have
also
completed a licence renewal application as this will be needed in addition to a replacement licence book.
First Name
*
Surname
*
Date of Birth
*
Address
*
Post Code
*
E-mail
*
Mobile Number
*
Please select required licence book
*
Select an option:
Replacement White to Orange Belt (£20.00 GBP)
Replacement Green to Blue Belt (£25.00 GBP)
Replacement Purple to Brown Belt 3rd (£30.00 GBP)
Replacement Brown 2nd to Black Belt (£45.00 GBP)
Please submit one official passport photo for the licence book
*
Select an option:
I will submit one passport photo in class
I will submit old licence including photo
Remember it is the student (or parent if under 18) responsibility to ensure that a valid and up-to-date licence has been applied for in addition to a replacement book. Have you renewed yet?
*
Select an option:
I have applied for a licence renewal already
Not yet, I will do by visiting http://jhka.co.uk/renew-your-licence-current-members-only/
*
indicates required fields