1 - Surname of the holder

2 - Other name(s) of the holder

3 - Date and place of birth

4c - Name of the issuing authority

5 - Number of licence

7 - Signature of the holder

8 - Permanent place of residence

9 - Category/categories of vehicle(s) the holder is entitled to drive

10 - Date of first issue of each category

11 - Date of expiry of each category

12 - Additional information/restrictions