Your Track Record Your name: Your pupil number: Instructor’s name: Instructor’s telephone number: Contact BSM Call 0330 100 7493 (option 3). or visit bsm.co.uk BSM E6070D (02/15) Your details Customer information Name: For Instructor’s use. Customer reference no: Name: Driving licence no: Address: Your Instructor details Email: My name is: Telephone: I can be contacted on: Hours required to test: Between the hours of: † And: Your personal structured driving tuition course When would you like to pass by? Hours required to test: Date of eyesight check: Forecasted Theory Test date: Date of Mock Theory Test: Forecasted Mock Test date: Date of Theory Test: How many hours required per week? Date of Mock Practical Test: Forecasted Practical Test date: Date of Practical Test: Instructor Signature: Thank you for choosing to learn to drive with BSM. Please remember I require 48 hours notice if you wish to cancel a lesson. Otherwise the lesson fee will be charged in full. Estimated Pupil Signature: † 2 Your Instructor’s assessment There are 45 driving skills, each with five assessment levels. Your Instructor will introduce each skill as appropriate; there is no set order. But bear in mind levels can go down as well as up. Assessment levels 1. Skill introduced 2. Skill carried out under full instruction 3. Skill carried out when prompted 4. Skill carried out with minimal prompts 5. Skill carried out without prompts 7 Moving off downhill 16 Emerging left 8 Changing gear 17 Turning right 9 Steering 18 Emerging right The cockpit drill 10 Stopping normally 19 Approaching crossroads 2 Use of car controls and instruments 11 Controlled (emergency) stop 20 Roundabouts 3 Controlling the clutch 12 Using the mirrors effectively 21 Complex junctions 4 Moving off safely 13 Giving signals 22 Pedestrian crossings 5 Moving off at an angle 14 Acting on signs and signals 23 Level crossings 6 Moving off uphill 15 Turning left 24 Keeping space either side 1 Date: Grade: 3 25 Following traffic 34 Dual carriageways 43 Turn in the road 26 Keeping pace with traffic 35 Eco-safe driving 44 Reverse park 27 Meeting traffic 36 Night driving 45 Reverse into a bay 28 Crossing traffic 37 Bad weather 46 29 Overtaking 38 Commentary driving 47 30 Awareness and planning – towns 39 Reversing in a straight line 48 31 Awareness and planning – country roads 40 Sharp left reverse 49 32 Lane discipline and positioning 41 Sweeping left reverse 50 33 One-way systems 42 Reverse to the right 51 4 Notes 5 Please can you keep a copy of this for your records Your appointments Day Date Time Hours Day Date Time Hours 6 Please can you keep a copy of this for your records Your appointments Day 7 Date Time Hours Day Date Time Hours
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