Complete the form below. Write NO MORE THAN TWO WORDS AND~OR A NUMBER for each answer. APPLICATION FORM Type of I.D.:

DAWN: Good morning, my name is Dawn Buffet; how can I help you?
GAVIN: Good morning, Dawn. I’d like to join the club.
DAWN: Wonderful. Now, have you ever been a member before?
GAVIN: Yes, I joined after I left college and I was a member for seven years before I let my membership lapse when I went abroad.
DAWN: Do you have your old membership card?
GAVIN: No, sorry. I threw it out when I moved.
DAWN: Have you got any other form of identification on you?
GAVIN: I’ve got my driver’s license and my passport and a couple of bankcards.
DAWN: The lierne will be perfect.
GAVIN: Here you are.
DAWN: Thank you. Oh, the photo is not a very good likeness, is it?
GAVIN: No, I’ve shaved off the beard and cut my hair since that was taken.
DAWN: I’m going to have to make a note of some of these details and I’d like you to correct me if any of them have changed. Obviously, the number here will be the same: AY916310.
GAVIN: Look, you’ve copied it down wrongly--it’s AY196310.
DAWN: Thank you. I’m glad you picked that up; now....Family name...Black; and other names...Gavin Raymond.
GAVIN: Yes.
DAWN: And you were born on the 22nd of January 1973.
GAVIN: That’s correct.
DAWN: Can I just remind you that you’ll need to renew your license by the 19th of May 2012—you wouldn’t believe the number of people who get caught out with an expired license.
GAVIN: Thank you. I must admit, although I carry it around in my wallet, I wasn’t really aware of that.
DAWN: Not many people are. I’ve been caught out myself. Now, I can see that you’re one of those who has opted out of having an address printed on the card...and I can understand that. Personally, I think it’s better security not to have it--in case your wallet gets stolen, for example.
GAVIN: I agree.
DAWN: Can you give me your current address for our records?
GAVIN: Yes, of course. I live at 29 Sunset Street, Meadow bank.
DAWN: Thanks. Actually, my uncle lives in the same street. It’s a very nice area, isn’t it?
GAVIN: Yes, pretty good.
DAWN: Now, you’ve got three classes of license: motorcar, motorbike and heavy vehicle. Do you want to be covered for all three?
GAVIN: Oh, not any more. I had a motorbike when I was a student and then, before I went abroad, I worked as a truck driver for a while but I never want to do that again. These days you’ll only find me behind the wheel of a car.
DAWN: Well, that’s all done—now for one final question?
GAVIN: What’s that?
DAWN: I need to ask you whether you’ve ever had any driving or other convictions or endorsements on your license.
GAVIN: Well, I’ve had a few parking tickets.
DAWN: We don’t count those.
GAVIN: And...I haven’t had any endorsements...but I do have a dangerous driving conviction from back in 1993. I was young and inexperienced and going too fast in wet weather and I slid off the road and hit a power pole.
DAWN: Well, I have to make a note of that but you’re lucky—because it’s over 15 years ago, it won’t be held against you.