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t? Ontario
I.tlrdsU'Y
of
Tl'lUlsptH1:llion
Mlnlsltlr.
d..
Transports
41rislry Ho JNa au m1 n1slaro
S.MCh OalelDnte de n1dl'rche Ci'A t.4 OIJI
2012/ 07 /13
)RI VER 'S LI CENCE HISTORY/ANTECEOENTS DU
PE ~I I S
DE CONDUI RE
PAGE
lRI VER INFORMATION/RENS EIGNEMENTS SUR LE CONDUCTEUR
ll1mll!Ncm , . . .
,ddfllSiIAdruso .
larU8l1CliI No. or OliYllr' . UCBrJCD No.1
10 dlil I4 1C1rClnc;o C1U du PlrmiS dlil condulnl .
'Dl. of BlrthlDlilt ckl nalssance (YIA M DlJ). . • ,
• • / Sln e . , . . . . . . . . . .
. . . . . .
'il1Ilht / ToIl'1iI . . . . . . . . . . . . . . . . . • . .
Ian I Cotegalle . . . . . . . . .
-ondidon I Ru lrletion.
IllfillSt
ue enee 041.
AVIlia bie I
liN d"obtenllon du prlmie,. de cono.m . .
lplry 00 1" Date d'upflltlon IVIA '" DlJ)
talUs/ StaM
)ATE
~/ A
. . . . 1999 /10 / 0 2
201 3/11 /1 5
· LI CENCED!T l TULAI RE D ' UN P
• • . . . . .
NDUI RE
ADDRESS HI STORY
#
ere
M D/ J ADRESSE(S) PRECEDEllTE IS)
'0/ 01/ 02
IA.TE
IS S '/PAS DEL
D/ L SER. #
ND SER. pi C
TRANSACTION
./ A M 0 / J TRANSACTION
'0/ 01/ 02
'0/0 1/0 2
'S/1 1/ 1 5
'S/ 11/ 15
'9/ 02/ 19
'9/ 07/ 23
'9/ 07/ 26
0/03 /2 5
0/0 3/ 25
REN AP P D/ L I SSUED
DEM REN pic DELI VRE
OR IGINAL - D/L I SSUED
ORI GI NAL - pi c DELIVRE
CHANGE OF CLASS/CORRECTIVE
X TO Gl ** / X
1" / X
CHANG. DE CAT . / VERRES CORR
ORIGINAL - D/L ISSUED
ORIGINAL - pi C DELIVR
AMENDMENT - D/ L ISSUED
RECTI FICATION - pi c DE
PHOTO - EX PI RES 201 6/ 07/2
PHOTO . EXP I RE LE 201 6/ 07/23
CHANGE OF CLASS/CDRRECTIVE LENSES , G1" /X TO G2""/X
CHANG. DE CAT . / VERRES CORR . : Gl ·· / X A G2·· /X
AMENDMENT - D/ L ISSUED
DELIVR E
RECTI FI CATION .
PHOTO
EX PI RES
7/ 03/25
2017/ 03/ 25
PHOTO · EXP I
NO ISS .
"AS DEL
NO I SS .
PAS DEL
NO ISS .
PAS DEL
NO I SS .
PAS DEL
ND I SS .
PAS D~ L
25183 99
49287 07
CONT INUED/SUI TE.. .
1
ST ATU S DEFINITIONS IAppl'C;a t t. lorO,i". r R.ccrd
DEFINITION DES STATUS
Sutch Only l
duS11er d J cond..rctelj r ~mllJ1 1,l
LICENSED
TITULAIRE D·UN PERMIS
DE CONDUIRE
LII permls de candl.ir. 1St va lreM.
SUSPENDU
L.
' 1 l si su ,plndu
.., raise.. ell non.J&!op/lC( lWS
fjlllefT'.nb dJ
OIl la route DU
d~ Ccoe en""nlll d"J Carud.::l
SUSPENDED
1~SlQl'I
Qrve( s t C8I"C8 Is tmde
lorl~. 10 ~l t wth '~l>OI\S
~c .d irl ttMI Highwil¥,
er Crfmf1at CoC!. 01 C 1;1l
UNLICEN SED
CANCELLED
..{)riylll
rn::... ee
tla s
coo.
Act
Uchnee IS no longe' "llIId I~
IrMl lo 'owi "!l ,eIKO"lS'
arot 01
cltl e.
13
PERMIS DE CONDUIRE
ANNULE
jurlsd-e.ti:;m
-Llis d'oits au permis ori el,
rambours's I n'OI1I pa$ ete payes.
-t l COn.dlJ(lllUlI la C(lf1l1uclril;lt II
' enl:lu volOf1 l;tullmt'nj !>en p"" mil
-Ncn ·' lI sp. cl des e.r.;genCltI du
-tjcence r. lW'ned "o lunUfity
1:)
compl y
wllh
1I pemn n·.stpl.... va loe pour
Ill'll dill UlSonS suw~s ;
·LIiCcrltJetllur 114cond-.JC lI1ca
nN w ". p'\lS1i" O1W D
·Lite nte lell rMumSed 1 nol paid
-Fn~ Uf1I
(Pour I/I'e rl ct1111clM chris Ie
fTllnlslJy
reOlllremonl s
"" I'\i , l er,
UNLICEN SED
DrlJer's heenci h.::ll • • pil1ld within
Ina l<1s1 12 ITlOnthl , (O r i ~et may
rllMW by pnylno renewl\l lou lind
paS5'n:Jany appll::nble lQ5ls I
PERMIS DE CONDUIRE
EXPIRE
L, pllrmll do condllir& a u plni au
court des 12 oomlers mcls {Le
corrduc!uur " a cenducl!ice peutle
" nowe ler en payaTlIl ll1 droll ~
pri vus el l n riu n lssa'll hlS C1 va m ons
perlin enl S I
UNLICENSED
UNRENEWABLE
Drtver" s lIC ence Ius
more Itt
IIlsll OJ
12 manlhs ,
lI ~ p " ed lor
I Drt ~ er must
r Elarrinalion Cen.e and
ANNULE ET NON
RENOUVELABLE
pass P"I' appQcobr. Ilt sl5 )
Le pOf1'J1o'I de tordlJ,rll est ..p;r6
deputs p;us de l :ll mal. (Le
con:f\lclaur I ia c:onr:tlctrlc. doll Se
reNte tI un cenara d'el",",," de
U1'ldull. pCltJ' sublr Ie. eumen s
pe'tiMn ls I
NEVER
LICENSED
Irld ... >dual
/'IilS rell &'
h. 1d a
PilrTT1iU1 tnl Orrbtie dn\ollf I lu nee
The rele rerw: e number h.as bun
N'A JAMAIS EU DE
PERMIS
ttl I1Icord U1nv lctions I
a::ticlen!.sI u JlptlnsiOfl• • e le.
cr&.lled
DEATH REPORT
The m-nlslr,. ltas , _ lve:J a n;port
IImI h s d river Is dece:lu d 'fte
RAPPORT DE DECES
su:c:nslu l .....nll il n tesl musl be
t:I lIeunclI elm be
Issued.}
PERMIS DE CONDUIRE
ENATTENTE
completed bG!ore
DRIVER'S
LICENCE
HISTORY
SEARCH
'nclud 9S In'o'lJ" abCIn " raled 10 wI"er
rllcord ldlH' tlfl ell, cunllnl tlcllnsrng
sl.alt.ls. ndduiu
ch3l1gn , eriglnul
renewals
IIc&rlCe lu u~n=e , lieli nell
and lIur ce repiace'"'Gnls
lA "*'I".re Gr~ u<'I nsppctt
rManlq..e Ie condJeteur/ ta
conduc;tl'lc. est deceflolt_). Ca
nlPQM a '
eg1\1I', tn.1I. non
c:)On'me
conli,mod.
An appl t.1nl hn jusl applied rcr an
Onlario
d'iver
~ ctn c e
fA
'I'
fOnliVto 1.I numDro de rs'arllf1C1I a
a t' pour IInr llglslrll r les ~ndam­
naliolls,lICC:icf8ntl . suspen sio'lS. e ,=.
report has boon recorded, bUI not
PENDING
LICENCE
C.h petSO/Wle lI'a ]Mloais ell de
permi s CHI eo 1~ 1 ,. pC;llm anen! de
'¥'"ll
Ul p«IllIlT'l. Vient de
I.Ine
d em4lldB clII p6rlTU d e condlJirll
clII f On!:l.lIo (EIJI dCIIr iuu lllin
erl'lmen dl ' corm lliullne.. dell
r/lglllI dot I,), cllcula!lon evam qu'un
perml, tl iJ t.llfId u're 111 Oul solt dollvro J
RECH ERCH
D'UN PERM
DE CONDUIRE
Corr llrond I.. 11l.."lgnetnlll1lS r. ltll.l,
II.U~ Ili t~tTlll tl t s d1:fenb lir:a~OII du de n ier
d"un ccn duci liur. a f qb l IKwel du
permf. dot condul,e, GUr chQl'Igerne n l ,
r:fl'l (flo ~ue . a l.1 datlv,arce dll p,em f(1t
'1lJ"o\J
pIU"'"
d9 co'1<1lJi' . .
fe 'l}U~eJ~ 1 III .ow f~LKe ment dI.r
_Sf
......,.
EXPLANATORY
NOTES:
D al~ "prn",!s lhe etlfro't::lIOin dalD
amv~tianl and elled'Ve
dat ~ fer tlIl Ct!'Ief
~ en
\tie SlalerN nl DI Dnv
~
lor a... y
It II Ihll polrty el !he mlstry 10
e. W e» IfOm t!'MI public fKCl d any
del~ liM
~spe n s bn whk h
has 00, " C3"ICli rle:S .nd ~c'l'Il;e
reillslal. :t as II rll w 'l 01 pa~n l
NOTES EXPLICATIVES
1JI 13:11. luU relerenc.e a la d.::ltlr
~
CQnd.1frr\rlaon el a la Ii')!. d '.nuN lin
...tgUi1lr
1\9.. ",.,1
"""""
dII
En ...." ..
touIli S IeS aw es .n~e n
Alr III re:eve OJ cbsu.r clII
~ 5a pcblique .
Ie nmisl.rll
n-., . CJIt p_s O.-lS t.s <l:lISIe. S au .quels
I. p1Jbrle 1'1 nc.:as Ills
sUSP"'SI()fl' pour D"l8'ldll h1Jloyoe
lI,.aral 'I. ant'IUlHs , I 'os ~'".... rerTjs
&n "''lI cjfUI Pill" Su le Cu paitlment d4t
l amBndll
P Ontario
""nll tty
of
Mimsle'll
Tran ~pct1D li on
Tr.:msports
d. .
41nlCtry No IN :), l:1J m1n1cltlfD
S9:ueh Olll6l03 lo de rec:h&r::he (VIA M
)RI VER' S LI CENCE HISTORY/ ANTECEDENTS DU
P E ~I I S
DE CONDUI RE
PAGE
>RI VER INFORMATI DN/RENSEI GNEMENTS SUR LE CONDUCTEUR
lame/Nom . . .
.dae,sIAdro SGo
!ehlrlllnel No. or Clivi" . U.~. ncll No)
10 dg r"~ r. n t lll ou du petTris de c::mdull1l .
'l\10 01Birth/Dote de nlliuMeD (VIA M OIJ)
8 1,Stl ll
.
.
1I1ghll Tal ill . . . . .
Ian fC ll"gorill
cndillon I Re slrlelicn
.
.
.
. . . . . . . . . .
or1if1s 1Ucenc;o pa te A...a'labla '
lito cfoblontion du premier da CDrK1I lrll . .
:rp~
.
DOlle ' Dtlllllfupirn lion (VIA M DlJ) . . . . . . .
m!ul/ SUltuI
_.
1999/ 10 /02
20 13 / 11 / 15
· L I CENCED/ T r TULAI RE D'UN PERlotI
'ATE
TRANSACTI ON
' / A H D/ J TRANSACTI ON
.2/ 01/ 29
2/0 1/ 29
.2/ 01/ 29
2/01/29
2/ 01 /31
2/07/1 2
'ATE
AMENDMENT . D/ L I SSUED
RECTI FICATION . pi C DELIVRE
AMENDMENT . D/ L I SSUED
RECTIFI CATION . pic OELI VRE
AMENDMENT . D/ L ISSUED
RECTIF ICATION . Pic DELIVRE
AMEND!1ENT . D/L IS SUED
RECTI FICAT ION . pi C OELIVRE
AMENDMENT . D/L ISSUED
RECTIF ICATION . piC OELIVRE
CHANGE OF CLASS/CORRECTIVE LENS ES: G2· · /X TO G···/X
CHANG . DE CAT . / VERRES CORR. : G2 * */X A G··· /X
CERTIFICAT ION
"I A H 0/ J ATTESTATION
'0/ 07/ 02
'9/ 02/ 19
DIJI
2012 /0 7/ 13
BEGINNER
COURS DE
BEG I NNER
COURS DE
DRI VER EDUCATION COURSE COMPLETED
CONDU I TE POUR DEBUTANTS TERMINE
DRIVER EDUCATI ON COURS E COMPLETED
CONDUIT E POUR DEBUTANTS T E ~~ INE
•• •• ••• END OF RECORD/F IN DU DOSSIER •••• •• •
DE CONDUI RE
D/L SER . ~
NO SER. pi C
NO I SS .
PAS DEL
NO I SS.
PAS DEL
NO ISS .
PAS DEL
NO ISS .
PAS DEL
2246373
40 14 816
COHPLETED
TER1U NE
200 0/ 06 /30
2000/ 06 /30
2009/02/12
20 09/02 / 12
2
STATUS DEFINITIONS (App ieabkl 1or Dn~ er Recold
~o. rch
OnlYI
LIC ENS ED
S US PE N DED
DEFINITION DES STAT US
T1TU LAIRE D'UN PERMIS
DE CONDUIRE
D ri~er' s
licll 'lC' i. unallr , •.npen, icl'l
SUSPENDU
tor IaJlurf! to campiI' will! regu'all01'l5
1pt;l;llllld In Ihot H i gnw a~ l rll fllc Act
liCll nce Is no lcnoer ~a! ld lor nn ~ 01
I'lQ 1011 0....11'1 [1 rell sonl
-Dnver has movet! 10 o'.her
jurisdiction
-uceoce leeIQI..." dOJd I net paid
-uce oce IQUrnlld voIUl'l3rily
-FmlJre 10 complJ' wlen miniStry
Le permis 01 conduor. 1St SUl pend..
111 11 raison du non-fespeCI ues
reglemenll du Code dll In rout e OJ
du Code crtm'nal du Cnoada
cr Cnrnll'lil l Cade 01Canada
UN LIC ENSED
C ANCEllED
(Poor une recl1G,elle oa" , III
don ier OIl Catld.x::leur $elllemenil
PERMIS DE CO NDUIRE
ANNULE
'~ r~ lT\Vn I5
Le perrnls rt'est plus valldll pour
I'unp dos ra.l$ons l udvalll es '
-te conduclaur I!a conductslclll
n'hnblte piUSen Ontl'lli o
-Les droils do pam-ds onl ele
rombaurd' I ''''0(\1pas eIG p3yil s.
-Le conduclour 1111 conduclric e a
fll ndu volOl'la'l llltlli'll l en PfIrrril
-Non'fal pocl des llx rgllncas lfu
ml '1I ~ larv
UNLIC ENSED
Driver" licitrlc:e has lIl ~ p irll d within
the lasl 12 monlh l . (Driver may
renllW by pllylng nmewal lellS Ilnd
passing any upplicllble lOlls )
PERMIS DE CONDUIRE
EXPIRE
UNLICENSED
UNREN EWABL E
Oriv&r's lic,mce has I ~p h ad tor
molQ man 12 monlhs IOrivar musl
vis,t Orrver Elllmil1aU:;m Caots e and
!lIIlSnoy oppllCllllle lUis I
ANNULE ET NON
RENDUVELABLE
La P&m11. de condui'e est n plril
def;lI+1 p lu~ dll 12 fTlO ;S (1.8
t onducleUT 1103 conl1Jctrlcll doll I e
rllndrv il UTI 00'111'9 d'a_amlln de
candvlta pour sub,r les exam.ll S
pll rtlllll nt, )
NEV ER
LIC ENSE D
Incividulll has never held 0
petmanant Onlnrlo drlver'1 Ic enee.
The ra' erence number has been
crealad 10 record conllicU ons I
occidenl s I .uspellsionl , ell:;
N'A JAMAIS EU DE
PERMIS
Cau, pllls onne n alamall eu de
plitrmls de condlJlre pllrm3nenl da
l'Onlario, te r urrnerc de rilfarence a
01l\ et&' pour enregil trar les ccndcm ­
nattcns, ac:cldenls. sUlpension. , Ill::
DE ATH R EPORT
TIlll rrl nlmy has rK elved a report
111011 ttll s dlwer II deceal ed TIle
report has bean rllCOI'llpd, but net
confirmed
RAPPORT DE DECES
l.
e a rol;Uun rapport
ravl
e Ie conduc1 eur 1161
cOIIWclnce al l d' e4d&(e) Ce
rapport a et' erIf'E glslr&, m31 s oon
conl l ,""
PENDIN G
LICENC E
An appllcnnl has Just applrat:l tor
Onlario
dnvar
licencll
sUl:CllSs/ul wrillen tll il must
cornpta ted blil are a Ilc en ~ can
lu ued)
PERMIS DE CONDUIRE
EN ATTE
La p' rla n"" viant de lalr8 Ull e
demande c o permis dOJ c:o'ldui ra
d, I'Onlaria IElle dolt Iil un lr un
IIl amen del connnisi ances del
rQgl n dala c n:ulallon ovanl qU'llfl
pll 'mls de condulrQ nil lui l alt dli livr9.1
DRIV ER'S
LIC ENCE
HISTORY
SEA RCH
Includli S infOl!l1lltron filIated 10 dnvlH"
record idoo ~f ,ers . current Ma lllSln;)
SIn1uI , address c/lO'l iJU , Ofiogh lll
lice" ce IISIJfmoo, licence f1mewals
a'lr:l l,cence repilicements.
RECHERCHE
D'UN PERMIS
DE CDNDUIRE
CQmPIO '1d 1!J~ r lHl ~ elgn e lTllil 'lI S l al:llll s
llU_ tiki'Tl6nts d'idanmicatJon du dOIlI"
d'un c:o" dJcleur. Ii I'alnl nCllle l du
1I11ml I eM COl'lduTlI, au_ c!l3floemll n\1
d'ad' lI$se, I'l 103 d4llvranc. dlJ prerrtill l
pll "",& dEl condulre. ni"s l qu'aJ
reflollve'lomllnl ..I nil leml'lacll meni du
I' erm o
EXPLANATORY
NOTES:
Dale rpprll$llnll 11111 convlcll
rar any c:onv lc l~ n. Of\d
dalll far all other enlrie••
the Slalement 0/ Drivlnll Record
NOTES EXPLICATIVES
La dale fail rO!Qrll'l ce a ta date d8
concl:1mnallcn 01 oi 1<1 dale d'onl,ile en
vloueur do loules Ills autrlll enlrlliel
lill urllr' l sur lit relavli du don ler de
eondulle.
an
IA
be
be
II is lha policy 01
y
eKc!udII from t'le pu
defaulted !,ne sus
n which
IlcvnC9
I'1al beef\ c:af\celled
relnslaled 01 a rIIl. ull 01payml 'l l
La pafrnJ I de condullll a a ~ p lr 6 au
cours del 12 dllmlll rs moll . (l e
conduclellr I III conduclrlca paul Is
Iinollvllli r en p ayant tIS
P"VllSel en I llussju ool rl ' examenl
plllll r'lllnfs )
eeous
Err verl ll do sa po.l lqtle. III mlnlllilr ll
rr1nscril pas danl tes don klrl lI 11xqu, 11
III public n aceas les
I IIIP8nl :0'1 1 pour ilITIlInd4 fmpaye8
oyanl li t' an'l uMOI lit Ie. pllnnls lemil
I rr YlglJlllJr pur I Ulle du p 3 ~ me nl dll
I'arrlendll ,