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Exam -- Behind the Wheel
STATE OF CALIFORNIA
DEPARTMENT OF MOTOR VEHICLES
A Public Service Agency
CERTIFICATE OF COMPLETION OF
DMV LICENSED DRIVING SCHOOL
THIS CERTIFICATE MUST BE SIGNED BY THE LICENSED DRIVING SCHOOL
PRINT STUDENT'S TRUE FULL NAME (first/middle+last)
COMPLETION DATE (today mm/dd/yyyy)
Good CARma Driving School
DRIVING SCHOOL NUMBER
631 Benson Way, Thousand Oaks 91360
SCHOOL TELEPHONE NUMBER
( 805 ) 370 - 9895
PRINTED NAME OF DE/DT INSTRUCTOR
INSTRUCTOR LICENSE NUMBER
I certify (or declare) under penalty of perjury under the laws of the State
of California that the foregoing is true and correct. I certify that the
student named above has satisfactorily completed at least six (6) hours
of behind-the-wheel training conducted in conformance with Ss50.45(a),
Chapter 1, Article 2.2, Title 13, California Code of Regulations.
OF DE/DT INSTRUCTOR
TODAY'S DATE (mm/dd/yyyy)
A LICENSE OR A PERMIT TO DRIVE
DL 4000 (NEW 4/2010)
CERTIFICATE NUMBER (alpha-numeric sequence)
Third Party Email
Before continuing, fill out the gold certificate using the above information as the template.
Read and click to acknowledge the following:
Dear Student, Congratulations on completing the Behind the Wheel Driver Training Course required by the Department of Motor Vehicles. This brings you one giant step closer to getting your driver license.
Do not lose this certificate. Replacement fee is $25.00. Store it with your birth certificate/passport & other important papers. This way, even if you forget where you placed it, Colleen can remind you where to find it. ;)
Only your original certificate paper proves to the Department of Motor Vehicles (DMV) that you have officially completed the Driver Training Course.
When checking in for the drive test you must bring: (1) Driver Training Completion Certificate (2) Learner’s Permit with additional certificate on 2nd page sign by a parent (3) Vehicle Insurance (4) Vehicle Registration -- You also should bring: (5) Social Security card (6) Original birth certificate or passport
Contact me if you have any questions or if I can be of further assistance to you.
Remember to notify me with the good news when you pass your drive test. Best of luck! -- Colleen Kelly
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