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DRIVER APPLICATION
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Personal Information
About you
Title
First name
Last name
Email
Home Telephone
Mobile Number
NI Number
Licence
House No
Street Name
City
Postcode
Tick this if your address
is
different on your licence
House No
Street name
Street name
Postcode
CONTINUE
Licence Information
Licence Information
Do you have off road parking at your home address?
Yes
No
How many years have you had a full UK driving licence
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
Do you have any advanced qualifications? E.g. Advanced Motorists, CPC etc..
Yes
No
Qualifications
If any, how many penalty points do you have on your licence?
0
1
2
3
4
5
6
7
8
9
10
Please provide us with a code to check your licence* (Click link to get your reference)
https://www.viewdrivingrecord.service.gov.uk/driving-record/licence-number
Licence Number
Have you ever been convicted of a criminal offence which is not spent under the Rehabilitation of Offenders Act 1974?*
Yes
No
Are any criminal proceedings pending
Yes
No
Have you ever been refused Insurance for a motor vehicle or had any policy cancelled or amended?
Yes
No
Are there any traffic violations proceedings currently pending?*
Yes
No
Have you been involved in a Road Traffic Accident in the last 5 years?*
Yes
No
Traffic Accidents
Do you have any driving endoresments or convictions * - Please provide the codes for reference
(https://www.gov.uk/penalty-points-endorsements/endorsement-codes-and-penalty-points)
Yes
No
Endoresments
CONTINUE
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Medical Information
Personal / Medical
Do you smoke?*
Yes
No
Are there any circumstances in which your medical condition may affect your ability to drive?*
Yes
No
Are you taking any medicine (prescription or non-prescription)*
Yes
No
Details of Medicine
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Experience
Previous Experience
Do you have any previous Trade Plating Experience*
Yes
No
Tell us a bit about yourself and why being a Trade Plate Driver is of interest to you.
If offered a position what is the earliest date you would be available to start? *
Employer
Would you prefer Full Time or Part Time work?
Full
Part
Current / Most recent employer*
Employer
Job Title*
Job Title
Responsibilities*
Date started*
Start Date
I am still in employment
Date Finished*
Finish Date
Reason for leaving*
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Experience
References / Documentation
Are you able to provide 1 or 2 references for the past 3 years?*
Yes
No
Please provide details for your previous employment 1:
Employer Name
Contact Number
Employer Email
Please provide details for your previous employment 2:
Employer Name
Contact Number
Employer Email
Where did you hear about this vacancy?
Heard about us
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Are you over 25 years old?
Yes
No
Confirm consent of details to be passed to insurance brokers for checks
Yes
No
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