| Name | Kristen Will |
|---|---|
| Username | 10509 |
| Date of Birth | 04/11/1969 |
| Address | PO Box 567 Bordertown, SA 5268 Australia Map It |
| Phone | 0438584160 |
| Email hidden; Javascript is required. | |
| Previous Licence Number | 10509 |
| Have you Previously Held an AIDKA Licence? | previously_held |
| Club | Tatiara karting Club |
| Licence Type | Senior Official ($ 60.00) |
| Express Delivery | No |
| Total Cost | $ 60.00 |
| Is the licence applicant over 18 Years of age? |
|
| Transaction ID | 076341962M4659728 |
| Entry Date | 2014-12-24 06:23:35 |
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