First Name (required)

Middle Name

Surname Name (required)

Date of Birth (required)

Your Address (Postal Address of PATAM Card)

Your Email (required)

Your Mobile Number (required for communications and Mobile App Setup)

Scheme Name / Employers Name

Scheme Serial ID

Upload your Photo (JPEG 2Mb limit)

Once registered you will need to:
1. Complete a Government Licence Check
2. Complete an online course called DriveAware

Privacy, please confirm you have read and understood PATAM Group Limited Privacy Policy

Yes - I have read and understood the GDPR Policy