Driver Application Form

EXPRESS FREIGHT SOLUTIONS LTD
SURNAME ………………………FORENAME(S)………………………...
ADDRESS…………………………………………………………………….
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TELEPHONE NO: (HOME) ………………………………………………...
MOBILE NO: ………………………………………………………………...
DATE OF BIRTH ……………………………………………………………
MARITAL STATUS …………………………………………………………
DEPENDANTS………………….AGES…………………………………….
NATIONAL INSURANCE NO ……………………………………………...
DRIVING LICENCE NO (COPY REQUIRED) …………………………….
TYPE OF LICENCE (FULL/HGV)……………DATE PASSED …………..
DETAILS ON ANY CONVICTIONS ……………………………………….
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DO YOU HAVE YOUR OWN TRANSPORT………………………………
HAVE YOU GOT A CRIMINAL RECORD.………………………………..
IF YES GIVE DETAILS …………………………………………………….
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ARE YOU REGISTERED DISABLED ……………………………………..
HAVE YOU ANY HEALTH PROBLEMS …………………………………
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NUMBER OF DAYS ILLNESS IN LAST 2 YEARS ………………………
EMERGENCY CONTACT ………………………………………………….
NEXT OF KIN (NAME, ADDRESS, CONTACT NO:) …………………….
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PREVIOUS EMPLOYMENT
COMPANY …………………………………………………………………..
POSITION HELD…………………………………………………………….
BRIEF DESCRIPTION OF DUTIES ………………………………………..
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FROM ……………………………….. TO ………………………………….
REASON FOR LEAVING …………………………………………………..
COMPANY …………………………………………………………………..
POSITION HELD ……………………………………………………………
BRIEF DESCRIPTION OF DUTIES ………………………………………..
………………………………………………………………………………...
FROM ………………………………….TO…………………………………
REASON FOR LEAVING …………………………………………………..
COMPANY …………………………………………………………………..
POSITION HELD ……………………………………………………………
BRIEF DESCRIPTION OF DUTIES ………………………………………..
………………………………………………………………………………...
FROM …………………………………..TO ………………………………..
REASON FOR LEAVING …………………………………………………..
GIVE NAME, ADDRESS & TEL NO OF 2 REFERENCES:
1………………………………………………………………………………
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2……………………………………………………………………………….
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CAN WE CONTACT THE ABOVE FOR A REFERENCE:
YES/NO
ADDITIONAL INFORMATION (QUALIFICATIONS etc)
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DECLARATION (TO BE SIGNED IN ALL CASES)
I CONFIRM THAT THE INFORMATION GIVEN ON THIS FORM IS TO
THE BEST OF MY KNOWLEDGE, TRUE AND COMPLETE. ANY
FALSIFICATION MAY BE SUFFICIENT CAUSE FOR REJECTION OR
DISMISSAL.
SIGNED ………………………………… DATE……………………………
FOR OFFICE USE ONLY
INTERVIEWED BY ……………………..DATE…………………………...
COMMENTS: ………………………………………………………………..
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DRIVERS’ HOURS QUESTIONNAIRE
QUESTION
ANSWER
(Tick One Box)
1. You start work at 0600 hours and drive for 2 hours, followed
by one hour unloading. How many hours can you now drive
before taking a break?
1½ hours
2 hours
4½ hours
2½ hours
2. After 2½ hours driving you stop for a 20 minute break and
after further 2 hours driving, you take another break. How
long does the second break need to be to comply with the law?
30 minutes
15 minutes
25 minutes
3. On any driving day, which charts must you have in your
possession?
Today’s
Today’s + yesterday’s
Current week + last
Chart of last week
Todays +
Previous 28 calender days
4. A full daily rest is 11 hours but this may be reduced to?
10 hours
9 hours
8 hours
5. What is the maximum number of reduced rests you can take
in any week?
One
Three
Two
6. After how many days must you take a weekly rest?
6
5½
7
7. The normal daily driving limit is 9 hours but this may be
increased to a maximum of 10 hours. How many times
per week?
3 times
Once
Twice
8. You must hand charts in within?
7 days
21 days
42 days
9. You must take a break of 45 minutes after?
4½ hours work
5¼ hours work
4½ hours driving
10.If you drive for 48 hours this week, how many hours can
you drive next week?
56 hours
42 hours
48 hours
11. You start work at 0600 hours and finish at 2100 hours. You
start the next day at 0800 hours. How many hours daily rest
have you had?
11 hours
9 hours
10 hours
12. A normal weekly rest is 45 hours. When you are at home you
may reduce this to?
40 hours
24 hours
36 hours
13. If you have a reduced weekly rest you must compensate by adding
an equivalent number of hours to another rest period within?
1 week
3 weeks
2 weeks
14. What is the maximum penalty for a drivers’ hours offence?
£2,500
£750
£1,000
15. Complete the centre field area of the attached chart as it might appear at the end of your working day:
Driver’s Name: ………………………………………….. Date: …………………………………………