SCHEDULE 11 E+W+S FORMS OF CERTIFICATE AND STATEMENT OF PRACTICAL AND UNITARY TEST RESULT

PART 2 E+W+S TEST FAILURE STATEMENT

Statement of failure to pass the practical test/test of competence to drive E+W+S

(To be endorsed on the front or the reverse of the Driving Test Report Form)

Name of candidate....................

Category/ies of vehicle....................

Driver Number....................

Date of test....................

The candidate named herein has been examined and has FAILED to pass the practical test/test of competence to drive prescribed under the Road Traffic Act [and for the purposes of section 36 of the Road Traffic Offenders Act] 1988 in respect of vehicles in the above category/categories.

*Words in italics to be omitted where inapplicable.