Application For Employment LGV Driving

Forename(s)

Surname

Address line 1

Address line 2

Town

County

Postcode

Phone

National Insurance Number

UK Employment

Do you have the legal right to take up employment in the UK?

Driving Licence

Do you hold a Full Clean UK Driving Licence?

Driver Number

LGV Class

Date Passed

Date

Digital Tachograph

Do you have a valid digital tachograph card?

Drivers CPC

Do you have a valid driver's CPC?

If you have answered yes, what is the expiry date?

Date

If you have answered yes, how many hours have you completed?

Give details of any endorsements

Please provide details of your previous employment, starting with your current or most recent employment first. Any breaks in employment should be explained.

Dates (From - To) - Name & Address Of Employer - Position Held / Type Of Vehicle, Duties & Responsibilities - Salary - Reason For Leaving

References from former employers

HS Regulations

Due to Gantry Health & Safety regulations, please tick this box to confirm that you are under 22 stone (140kg) in weight

Fear of heights

Do you have a fear of heights?

Criminal Offence

Have you ever been convicted of a criminal offence

Please specify below the details of all and any past or pending cautions or convictions. If you have no past or pending cautions or convictions, please specify “None”.

OTC

Have you ever attended a driver conduct hearing with OTC?

Please provide further details including date, circumstances and any action taken. If you have not attended a driver contact hearing, please specify “None”.

Referred

Have you been referred by a Stevenson driver?

If yes, please provide the drivers name

If known please provide the drivers employee number

You must enter all details marked with an asterisk (*).