| Title | mr |
|---|---|
| Name | joe chalmers |
| Username | joe23 |
| Date of Birth | 12/02/2001 |
| Address | 15 murray waters blvd south yunderup, wa 6208 Australia Map It |
| Phone | 0419199125 |
| Email hidden; Javascript is required. | |
| Previous Licence Number | 8715 |
| Have you Previously Held an AIDKA Licence? | previously_held |
| Kart Number | 23 |
| Club | Great Southern Kart Club |
| Licence Type | Senior A Grade ($ 210.00) |
| Transponder (senior) | Transponder (senior), Qty: 0, Price: $ 100.00 |
| Express Delivery | No |
| Total Cost | $ 210.00 |
| Is the licence applicant over 18 Years of age? |
|
| Parent/Guardian Name | brian chalmers |
| Entry Date | 2014-12-24 05:44:16 |
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