| Name | Anna Will |
|---|---|
| Username | 10372 |
| Date of Birth | 06/06/2003 |
| Address | PO Box 567 Bordertown, SA 5268 Australia Map It |
| Phone | 0407584161 |
| Email hidden; Javascript is required. | |
| Previous Licence Number | 10372 |
| Have you Previously Held an AIDKA Licence? | previously_held |
| Kart Number | 9 |
| Club | Tatiara karting Club |
| Licence Type | Junior ($ 105.00) |
| Transponder (junior) | Transponder (junior), Qty: , Price: $ 66.00 |
| Express Delivery | No |
| Total Cost | $ 105.00 |
| Is the licence applicant over 18 Years of age? |
|
| Parent/Guardian Name | David Will |
| Transaction ID | 8K328496VG7464127 |
| Entry Date | 2014-12-24 06:15:27 |
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