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HGV Driver Application Form

PLEASE PROVIDE AS MUCH INFORMATION THAT YOU CAN TO ENHANCE YOUR APPLICATION. ALL INFORMATION PROVIDED MUST BE ACCURATE AND UP TO DATE

Name*

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Telephone No:*

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eMail:

Address:*

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Post Code:

Please enter your Driving Licence number:

I have my own transport

I dont have my own transport

I have unspent criminal convictions

Please give details to criminal convictions:

I am eligible to work in the UK?

Are you able to provide confirmation that you are entitled to work in the UK?

Please provide your employment record, starting with the most recent:

I hold an LGV category 1/2/C1 on your licence

I have motoring convictions/points on my licence

I have been banned from driving in the last 5 years, details are below

I have you been involved in ‘at fault’ road traffic accidents in the last 5 years. Details are below:

I have lost a vehicle or load (stolen or damaged), which was under my responsibility

I have never lost a vehicle or load (stolen or damaged), which was under my responsibility

I hold a Digital Tachograph Card

Digital Tachograph Card Serial Number

I hold a valid driver CPC?

I dont hold CPC, but have had training. Specify hours completed

Any additional information or qualification i.e. Vehicle Mechanic or fitter, First Aider, Fire Marshal, Computer Skills etc. that may aid your application.

Are you willing to have a medical examination when required?

Do you require glasses for driving?

If you wear glasses to drive have you informed DVLA?

Are you aware of any reasons, which may impact on your ability to drive distances?

REFERENCES - Please give names and addresses of two referees

DECLARATION I confirm that all the information provided is true and complete and that I understand that any falsification or deliberate omissions may disqualify my application or lead to my dismissal.

I hereby agree that this data will be stored and processed for the purpose of establishing contact. I am aware that I can revoke my consent at any time.*

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* Indicates required fields

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