Driver Registration Form - Driving Talent Limited

Step 1 of 3

DRIVER APPLICATION PACK
Where did you hear about us?*
- Word of Mouth
- Website
- Advert
- Other
PHOTO: Please email or text a digital photo (passport style) quoting your application number to: [email protected] (address will receive texts)
Personal Details
Title*
Name*
First Name Middle Names Surname
Date*
MM slash DD slash YYYY
Date of Birth*
Email*
Sex
Nationality*
NI Number*
Contact Tel No (HO):
Contact Tel No (M):*
Address*
Street Address ZIP / Postal Code
Next of Kin:
Relationship
Contact Tel No (H):*
Years Driving HGV's
Years Driving HGV's in the UK
Settlement check code (if applicable)
Driving License Number*
Driving License Expiry Date*
CPC Card Expiry Date*
Digi Card Expiry Date*
Any points or endorsements held*
Visa expiry date (if applicable)
TWO REFERENCES:

Please provide your previous 3 employers. References will be sought immediately on completion of this document
First Reference:
Company Name
Name of employer
First Name Surname
Position
Contact Tel No
Email
Address
Street Address
Dates of Employment From
Dates of Employment To
Brief Job Description
Permission to contact for reference (Yes/No)
Second Reference:
Company Name
Name of employer
First Name Surname
Position
Contact Tel No
Email
Address
Street Address
Dates of Employment From
Dates of Employment To
Brief Job Description
Permission to contact for reference (Yes/No)
Third Reference:
Company Name
Name of employer
First Name Surname
Position
Contact Tel No
Email
Address
Street Address
Dates of Employment From
Dates of Employment To
Brief Job Description
Permission to contact for reference (Yes/No)

MISCELLANEOUS DETAILS:
Are you prepared to undergo a drug or alcohol test should it be requested?*
Have you worked for us previously?*
Have you suffered any health problems when working on night shift?*
Do you have any back problems that would prevent you lifting weights of up to 20kg?*
Do you have any allergies (not including hay fever)*
Have you worked for us previously?*
Would you opt out of the maximum 48 hour working time limit?*
Would you opt out of the 10 hour limit for night work?*
Are you willing to complete a DBS check?*
Do you understand we may have to share some of your personal deatils in order to secure you work?*
Do you agree to Driving Talent Ltd using your license details to conduct periodical checks for points and endorsements*
Do you agree to abide by our terms and conditions*
CRIMINAL CONVICTIONS*
Please tick as appropriate. Do you have any convictions, cautions, reprimands or final warnings that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)
If yes please state convictions and dates:
PERMISSION TO WORK IN THE UK*
Do you have immigration permission to work in the UK
HEALTH AND DISABILITY:

The following questions on health and disability are asked in order to find out your needs in terms of reasonable adjustments to access our recruitment service and to find out your needs in order to perform the job or position sought. If you make a declaration and meet the minimum requirement for an assignment you will be guaranteed an interview.
Do you have any health issues or a disability relevant which may make it difficult for you to carry out functions which are essential for the role you seek?*
If yes, please specify
If you have a disability, what are your needs in terms of reasonable adjustments in order to access this recruitment service and to attend interview, or to take aptitude tests etc.?
NIGHT WORKERS HEALTH ASSESSMENT:

These questions are designed for those staff who work regularly at night. Under the Working Time Regulations 1998, you are entitled to have a health assessment to establish whether you are suffering any adverse health effects from night work. However, this is not compulsory.
Please state if you are currently or have suffered from any long term illnesses that may affect employment
MOBILE WORKERS DECLARATION:

Road Transport (Working Time) Regulations

The Road Transport (Working Time) Regulations (RTWT) requires employment businesses to maintain records of the Working Time of mobile workers who are involved in operations subject to Community Regulation 561/2006. An employment business is obliged to ensure that the Working Time limits specified below are complied with for temporary workers they engage:
Tick One*
- I declare that: I AM NOT currently engaged in any work, other than for Diving Talent Ltd which needs to be included in the calculations of my Working Time under the RTWT Regulations; and I will keep Driving Talent Ltd informed in writing as to the details of Working Time undertaken for other employers or employment businesses on a weekly basis; and I will inform Driving Talent Ltd immediately if there are any changes to my situation which impacts on my Working Time.
- I declare that: I AM currently engaged in other work in addition to my work for Driving Talent Ltd which needs to be included the calculations of my Working Time under the RTWT Regulations; and I will keep Driving Talent Ltd informed in writing as to the details of Working Time undertaken for other employers or employment businesses on a weekly basis; and I will inform Driving Talent Ltd immediately if there are any changes to my situation which impacts on my Working Time.
Agreement To Opt Out Of 48 Hour Working Week (18 years+)

Dear Colleague

Working Time Regulations 1998 – 48-Hour Opt Out Letter

Under the Working Time Regulations 1998 a worker’s average weekly working time (including overtime) calculated over a rolling 17 week period must not exceed 48 hours.

The Regulations provide that this limit will not apply where a worker has agreed with his Employer, in writing, that it should not apply in his case.

I am therefore asking you to agree to opt out to enable you to decide on your own hours of work.

You may withdraw your agreement by giving the Company three months advance notice in writing. Please confirm your agreement by signing where indicated on the section below.

Yours sincerely

For and on behalf of Driving Talent Ltd Limited, 70 Boston Road, Leicester, LE4 1AW
Name
Title

22040

Step 1 of 3

DRIVER APPLICATION PACK

Personal Details

TWO REFERENCES:

First Reference:

Second Reference:

Third Reference:

MISCELLANEOUS DETAILS:

HEALTH AND DISABILITY:

NIGHT WORKERS HEALTH ASSESSMENT:

MOBILE WORKERS DECLARATION:

Agreement To Opt Out Of 48 Hour Working Week (18 years+)

Monitoring Equal Opportunities & Diversity

Ethnic Category