IADC-WORLD, LLC

PO BOX 350513 BROOKLYN, NY 11235

PHONE: TOLL FREE 1-800-557-4232, (718) 332-1231, FAX: (718) 891-8159

WWW.IADC-WORLD.COM

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APPLICATION FOR TRANSLATION OF FOREIGN DRIVER’S LICENSE

AND USA NON-GOVERNMENT PICTURE ID.

ATTENTION: PLEASE, PRINT YOUR INFORMATION CLEARLY!

APPLYING FOR:

PLEASE MARK!

White ID State: _______	Two picture ID State: _________	Blue ID State: __________
Pink ID (NY state only)	Student ID	Employment ID

International Driver License

Please enclose copy of your original driver license

Price

International Driver License $45 plus S/H

ID card $25 Plus S/H

S/H

Priority mail $5

Express mail $15

APPLICANTS PHONE #_____________________________________________________________________

FIRST NAME: _____________________________________________________________________________

LAST NAME: _____________________________________________________________________________

ADDRESS: ___________________________________________________________ APT. #_____________

CITY: ___________________________________________ ZIP CODE: ________________ STATE: _______

DATE OF BIRTH: __________________________ COUNTRY OF BIRTH: ___________________________

SEX: M. F. HEIGHT__________ EYES:______________ CATEGORY: A B C D E

FOR ID ONLY (optional)

PHOTO

Job position: __________________________________________

Employer/College name: _________________________________

APPLICANTS SIGNATURE:

Under penalties of perjury, I declare that I have examined this application

and to the best of my Knowledge it is true, correct, and complete.

An International Driver License is proof that you hold a valid driver's license in your own country and recognized worldwide as a valuable document identifying you as a properly licensed resident.

Your International Driver License MUST be accompanied by your original driver's license to be valid.

PLEASE, ENCLOSE COPY OF FOREIGN DRIVER’S LICENSE AND MONEY ORDER PAYABLE TO: IADC