Application Form

Confirm:

I currently have UK settled status

Confirm:

My CPC up to date

Unfortunately if you cannot confirm these statements you will be unable to complete the application form

CV Upload:

Personal Information

	Please complete
Title & Full name	Title & Full name, Please complete:
Previous Names (if any)	Previous Names (if any), Please complete:
Current Address	Current Address, Please complete:
Postcode	Postcode, Please complete:
Date & Town of Birth	Date & Town of Birth, Please complete:
Country of Origin	Country of Origin, Please complete:
Daytime Contact Number	Daytime Contact Number, Please complete:
Email Address	Email Address, Please complete:
Marital Status	Marital Status, Please complete:
Passport Issuing Country	Passport Issuing Country, Please complete:
Valid From/ To dates	Valid From/ To dates, Please complete:

Qualifications

	From/To	Establishment	Qualifications gained
1	1, From/To:	1, Establishment:	1, Qualifications gained:
2	2, From/To:	2, Establishment:	2, Qualifications gained:
3	3, From/To:	3, Establishment:	3, Qualifications gained:

Employment History

Please give details of your last three jobs, starting with your most recent

	From/To	Employer Details	Job Title	Reason For Leaving
1	1, From/To:	1, Employer Details:	1, Job Title:	1, Reason For Leaving:
2	2, From/To:	2, Employer Details:	2, Job Title:	2, Reason For Leaving:
3	3, From/To:	3, Employer Details:	3, Job Title:	3, Reason For Leaving:

Criminal Record

Due to the nature of the position applied for and the value of goods being carried please provide details of any unspent convictions or conditional cautions. The declaration of a criminal record will not necessarily prevent you from being offered this role

Conviction/Details:

Driving Experience / Licence Details

Confirm:

I have 2 years experience in a relevant role

Date Full Car Licence Gained:

Licence Number:

Expiry Date:

Date HGV Licence Gained:

Licence Number:

Expiry Date:

Driver Licence Check Code:

Please list any driving endorsements and or bans etc.

	Date	Conviction category	Penalty points/Length of Ban
1	1, Date:	1, Conviction category:	1, Penalty points/Length of Ban:
2	2, Date:	2, Conviction category:	2, Penalty points/Length of Ban:
3	3, Date:	3, Conviction category:	3, Penalty points/Length of Ban:

Please list any accidents in the last three years:

Has any load, part load or vehicle for which you were responsible ever been stolen?

Select:

Yes

If yes please give details:

Please list any additional driving qualifications or specialised vehicles, loads or journeys you have experience of:

This company operates a zero tolerance policy to drugs and alcohol and require employees to undertake a regular test for drugs and alcohol.

Do you agree to be subject to these tests?

Select:

Yes

General

Length of notice required by your current employer:

Please give any other information you feel relevant to this application:

Please give details of two referees. They should not be a relative; one of them should be your current or most recent employer.

Are you happy for us to contact your referees?

Select:

Yes

	Email	Telephone Number
First Referee	First Referee, Email:	First Referee, Telephone Number:
Second Referee	Second Referee, Email:	Second Referee, Telephone Number:

Declaration

Confirm:

I declare the information given on this form is to the best of my knowledge true and complete. I understand that if it is subsequently discovered that any statement is false or misleading or that I have withheld relevant information my application may be disqualified or if I have been appointed I may be dismissed. I hereby give my consent to the company processing the data supplied on this application form for the purpose of recruitment and selection

Signed:

Name:

Date:

Referral Name:

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Application Form

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