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Student Record

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STUDENT RECORD

Family name: Given names:

Address: City: Postal Code"

Phone #: DL (LDL) #: Class: Expiry date:

Earliest Exam Date Policy Statement received: Student Signature

E-mail

Rating Scale: 1) full coaching, 2) mostly coaching, 3) minimal coaching, 4) competent without coaching,

Lesson #	1	2	3	4	5	6	7	8	9	10
Date: y/m/d
Start time
Lesson Length
Fee
Instructor
1- Pre-trip
2- Ready/safe to drive
3- Full stops & position
4- Accel/Decel - smooth
5- Steering
6- Backing
7- Eye lead time
8- Blind spot checks
9- 360° checks
10-Mirror checks
11-Scanning
12-Set-up & right turns
13-Set-up & left turns
14-Signals/communicate
15-Right of w ay
16-Appropriate gap
17-Follow ing distance
18-Speed contro
19-Anticipates & adjusts
20-Lane changes
21-Running Commentary
22-Follow s traffic rules
23-Adjusts to conditions
24-Manoeuvre location
25-Parallel parking
26-Stall parking
27-Hill parks up & dow n
28-Pulling over & out
29-2 & 3-point turns
30-Highw ay/Freew ay
Student Initial

Receipt No.

Lesson #	Topic #	Comments

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