VicRoads Learner Permit No.

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Learner Permit Minimum Holding Period Exemption Application Overseas Applicants

Road Safety (Drivers) Regulations 2009 regulation 20 --------------------------------------------------------------------------------------This form is to be used by a driver who is unable to hold a learner permit for the minimum time it must be held due to hardship and wishes to apply for an exemption. Exemptions will only be granted having regard to an applicants driving experience and circumstances to which it was obtained and where undue hardship can be proven and VicRoads is satisfied that road safety is not compromised. Any exemption granted may result in conditions imposed on the persons driver licence for a specified period which: (a) (b) (c) (d) limit the carriage of passengers; and/or limit routes of travel; and/or restrict driving to specified times of the day; and/or restrict driving to specified days of the week. Please ensure that the person supporting your application also completes Section 15 of this form - Supporting persons details.

What documentation must be provided?

To support the application, the learner driver must provide: documentation from, for example, an educational institution/course coordinator if the exemption is required due to hardship as a result of occupational circumstances; and/or documentation from his or her employer verifying the employment if the exemption is required due to hardship as a result of employment circumstances; and/or documentation from a relevant authority (eg medical practitioner, parish priest etc) if the exemption is required due to hardship as a result of family circumstances.

What is the Minimum Time a Learner Permit Must be Held for a driver/rider?
Car driver licence Road Safety (Drivers) Regulations- regulation 21 When applying for a car driver licence, a learner driver needs to have held their car learner permit for the following periods of time immediately before obtaining a car driver licence: at least 12 months if the person is less than 21 years old; or at least 6 months if the person is at least 21 years old but less than 25 years old; or at least 3 months if the person is at least 25 years old.

This completed application must be mailed to: VicRoads Exemptions 53 - 61 Lansell St BENDIGO VIC 3550 NOTE The personal information that you provide on this form will be used by VicRoads to assess your application for an exemption under regulation 20 of the Road Safety (Drivers) Regulations 2009. Failure to provide the information may result in your application not being processed. The personal information we collect from you in association with your application may be used only in accordance with the Road Safety Act 1986 and associated Regulations or as otherwise required by law. Your personal information may be disclosed to contractors and agents of VicRoads, law enforcement agencies or Courts authorised to collect it. For further information about our use of your personal information and your right of access to it, please see the VicRoads document Protecting Your Privacy or contact VicRoads on 13 11 71.

Motorcycle licenceRoad Safety (Drivers) Regulations - regulation 23 When applying for a motorcycle licence, a rider needs to have held a motorcycle learner permit for at least 3 months immediately before obtaining a motorcycle licence. Note: If you have had an adverse driving record, this may prevent you from obtaining an exemption from the learner permit minimum holding period.

Who is eligible to apply for an exemption?

To be eligible to apply for this exemption, you must already hold a Victorian learner permit. Any exemption granted will commence from the date your licence is issued.

When should an exemption be applied for?

An application for an exemption should only be made when the driver can demonstrate to VicRoads, by providing supporting documentation, that he or she and/or their immediate family will suffer undue hardship as a result of holding a permit for the minimum time a permit must be held due to the nature of the learners occupation, employment or family circumstances. Confirmation that an exemption has been granted by VicRoads must be obtained prior to making an appointment to take a Victorian licence test.

VicRoads reserves the right to cancel your exemption if your driver licence is cancelled or suspended. A letter will be sent to you to advise you of VicRoads intention to cancel the exemption, and you will be allowed an opportunity to show why you should be permitted to retain the exemption. If you do not respond to the notice within the required time, the exemption will be cancelled without further notice.

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1. Learner Permit details 3. If applying for a car driver licence, please complete the following information. Please tick if you have held any of the below: Motorcycle learner permit Motorcycle licence

Victorian licence type being applied for (eg car or motorcycle)

Current Victorian learner permit type (eg car or motorcycle)

Motorcycle permit/licence number Current Victorian learner permit number Date of issue: Please state how many months you have had your current Victorian learner permit

Date of expiry:

2.

Applicants details

Family name (please PRINT)

3) Detail amount of riding experience obtained on learner permit (eg average hours per week etc)

Given name/s (please PRINT)

Date of Birth

Age (years and months)

Residential address (please PRINT) 5. If applying for a motorcycle licence, please complete the following information.

Have you held a motorcycle learner permit? Postal address (if same as residential write AS ABOVE) Yes No

If you have held or hold a motorcycle learner permit, please complete the following 4 fields: 1) Motorcycle learner permit number Daytime contact phone number 2) Duration motorcycle learner permit held for (in months) Are you a permanent or temporary resident (please TICK) Permanent Temporary 3) Dates between which you have held motorcycle learner permit

If you are a permanent resident were you in Australia when your permanent residency visa was granted? Yes No

If Yes, what date was your permanent residency granted?

Have you completed a training course in motorcycle driving that is approved by VicRoads? Yes No

If No, and you were granted the permanent residency visa while residing outside of Australia, what was the date you first entered Australia after the granting of your permanent visa?

If yes, please complete the following fields: 1) Name of training course completed

2) Date training course completed

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4. If you have ever held a licence to drive a driver licence in an external Territory of Australia or another country, please complete the following information. Note: Supporting documentation must be provided which proves that the training course was successfully completed. 7. Employment travel details (not self employed) (To be completed if you need to drive to and from your place of employment, and as part of your employment duties) Employers name (please PRINT)

1) Overseas driver licence number

2) Issue date of overseas driver licence

Employers address (please PRINT)

3) Territory or country where issued ABN Occupation

4) Is your overseas licence current? Yes No

What are your start and finish times for each day of the week and the days of the week that apply? (Please give an example of a typical working week) From am/pm To am/pm Days of the week

5) Do you have an English Translation Yes 6) No

Have you been convicted of any driving offences? Yes No

If yes, provide offence details, including any periods of disqualification Note: A letter from the employer confirming these times and location must be provided. What are your start and finish times for each day of the week and the days of the week that apply? (Please give an example of a typical working week) From am/pm To am/pm Days of the week Could you use public transport or other means of travel as part of your employment? Yes No

What public transport or other means of travel is available to you for travelling to and from your place of employment?

How many kilometres do you travel both ways to get to your place of employment?

km

Could you use public transport or other means of travel as part of your employment? Yes No

8. Employment travel details (self employed) (To be completed if you are self employed and need to drive to and from employment, and as part of your employment duties) Business name (please PRINT)

What public transport or other means of travel is available to you for travelling to and from your place of employment?

ABN

Business address (please PRINT)

How many kilometres do you travel both ways to get to your place of employment?

km Occupation

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9. Occupational travel details (To be completed if you need to drive to and from certain locations due to occupational circumstances) Please explain the occupational circumstance which involves you having to drive the car. What are the usual times at which you are required to travel to and/or from this location? (Please give an example of a typical week) Times (am/pm) Mon Tues Wed Thur Fri Sat Sun

Note: A letter from a relevant authority (eg educational institution, parish priest etc) confirming these times and location must be provided. What public transport or other means of travel is available for travelling to get to this location?

How many kilometres do you travel one way to get to this location?

km

What is the address to which you need to travel?

10. Family travel details (To be completed if you need to drive to and from certain locations due to family circumstances) Please explain the family circumstance which involves you having to drive the car.

How often are you required to travel to this location? (daily, weekly etc)

What are the usual times at which you are required to travel to and/or from this location? (Please give an example of a typical week) Times (am/pm) Mon Tues Wed Thur Fri Sat Sun

Note: A letter from a relevant person (eg parish priest, medical practitioner etc) confirming these times and location must be provided. Does the circumstance require you to transport another or other family members? What public transport or other means of travel is available for travelling to get to this location? Yes No

If yes, how many other family members are you required to transport? How many kilometres do you travel one way to get to this location? km Number What is (are) their relationship(s) to you?

What is the address to which you need to travel?

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14. Declaration 11. Driving experience obtained Do you also require an exemption from the 120 hours of Supervised Driving Requirement? Yes No I declare that the information I have provided in this application is complete, true and correct in every detail. I understand that failure to provide complete, true and correct information in this application may result in my application being refused. I authorise VicRoads to make any enquiries considered necessary for the purpose of this application. Applicants signature

Note: This requirement stipulates that all learner drivers who obtained their learner permit on or after 1 July 2007 and are under 21 years of age when applying for a probationary licence must fill out an official Learner Log Book. The Log Book must record a minimum of 120 hours of supervised driving experience, including 10 hours at night). If an exemption from this requirement is required, please ensure that the 120 hours of Supervised Driving Exemption Application form is completed and submitted along with this application.

Date

15. Supporting persons details (eg employer, educational institution, doctor, parish priest, medical practitioner etc) Full name (please PRINT)

12. Affect on occupation/ employment/ family circumstances and severe hardship that may be caused Please outline below: how abiding by the minimum time a permit must be held would affect occupation/ employment/ family circumstances; and what undue hardship may be caused to you and your family if this application is refused? (Attach a separate sheet if required)

Residential address (please PRINT)

Daytime contact number

Name of organisation (Business, educational institution, medical treatment provider, parish etc - please use a stamp if available)

Supporting persons title (manager, registrar, treating doctor, parish

priest etc)

Do you have any other information about the applicants circumstances that you consider important for VicRoads to consider when assessing this application? No If yes, please provide organisations letterhead. 13. Checklist To ensure your application is processed promptly, please make sure that you have included the appropriate documents in support of this application as outlined in this form under, What documentation must be provided? Yes a signed statement on your

I give permission to VicRoads to contact me for further information considered necessary for the purpose of this application. I undertake to give any further information that VicRoads may ask to verify any statements made by me in this application. I declare that I support this application and that, to the best of my knowledge, the information given by the applicant is complete, true and correct. Supporting persons signature

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Date

Office Use Only

Office Stamp/application received:

Decision
Document/File ID

Do you approve of this application? No Reasons for decision Yes

Delegated persons name

Position/ Title

Signature

Date

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