| Title | mr |
|---|---|
| Name | Deon Hallam |
| Username | 10363 |
| Date of Birth | 28/02/1983 |
| Address | 13 Jarvis St Berri, South Australia 5343 Australia Map It |
| Phone | 0439957228 |
| Email hidden; Javascript is required. | |
| Previous Licence Number | 10363 |
| Have you Previously Held an AIDKA Licence? | previously_held |
| Kart Number | 72 |
| Club | Loxton Karting Club |
| Licence Type | Senior B Grade ($ 210.00) |
| Probationary Driver |
|
| Transponder (senior) | Transponder (senior), Qty: , Price: $ 100.00 |
| Express Delivery | No |
| Total Cost | $ 210.00 |
| Is the licence applicant over 18 Years of age? |
|
| Entry Date | 2014-12-24 05:00:51 |
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