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(5) <br /> <br />A statement showing where he has resided <br />during the preceding year, together with <br />the number of days, weeks, or months at <br />each address; <br /> <br />(6) <br /> <br />A statement of his physical condition, in- <br />cluding a statement of whether an applicant <br />has ever had epilepsy, blackout periods, <br />faintingspells, or been addicted to the use <br />of alcohol, narcotics, or other form of <br />hypnotics. <br /> <br />(7) <br /> <br />Whether he has ever had any driver's <br />license suspended or revoked and, if so, <br />the reason for such suspension or revocation <br />and the inclusive dates of such suspension <br />or revocation. <br /> <br />No driver's permit shall be issued by the Police Depart- <br />mant to any person: <br /> <br />(1) Who is under the age of twenty-one (21). <br /> <br />(2) <br /> <br />Who is subject to epilepsy, fainting or <br />loss of consciousness by reason of chronic <br />medical condition; <br /> <br />(3) Who is addicted to the use of narcotics; <br /> <br />(4) Who is known to have been a user of hypnotic <br /> drugs or alcohol to an excessive degree; <br /> <br />(5) <br /> <br />Whose driving record indicates five (5) <br />violations of traffic laws involving moving <br />vehicles within two (2) years preceding the <br />date of application; <br /> <br />(6) <br /> <br />Who has willfully furnished false information <br />on his application~omitted to furnish all <br />information requested on said application <br />forms; <br /> <br />(7) <br /> <br />Who has been convicted for driving while <br />under the influence of intoxicating liquor <br />or narcotic drugs, or both, within three (3) <br />years of the date of application; or <br /> <br />(8) <br /> <br />Who has been convicted of a felony or any <br />crime involving moral turpitude within five <br />(5) years preceding the date of application. <br /> <br />-18- <br /> <br /> <br />