Applicant Registration

Applicant Information

Personal Information

Provide accurate information to properly identify you. This information will be used by Service New Brunswick to identify you.

* Required Fields

First Name*

Middle Initial(s)

Last Name*

Address*

City*

Province*

Postal Code*

Date of Birth

Month*

Day*

Year*

Driver Licence Number

Parent/Guardian Information

Consent is required for minors by a parent or legal guardian. Indicate consent by clicking the checkbox and providing an email address. The Parent or Legal Guardian will receive a copy of all correspondence.

Guardian Email

Confirm Parent/Guardian Email:

I consent to the collection of information requested for the minor indicated above. I understand that photos will be taken initially for identification and throughout the exam to ensure conformity.

Contact Information

Phone*

Email*

Confirm Email*

Terms of Service

I agree to complete this test on my own and will not use the help of another person, the internet or any other reference material during the testing period. I understand and agree that my web camera will be used by the software to capture an identity photo as well as capture photos during the test period which will be used as evidence of compliance to the Terms of Service during the test period. I understand that failure to agree to these conditions will restrict my ability to use the service.

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