Section 2 Drivers a) If this is a renewal of Taxi/Private Hire car driver licence, please state your current licence number Driver No..

Save this PDF as:
Size: px
Start display at page:

Download "Section 2 Drivers a) If this is a renewal of Taxi/Private Hire car driver licence, please state your current licence number Driver No.."

Transcription

1 Aberdeenshire Council Application form in terms of Sections 10, 10(5) and 13 of the Civic Government (Scotland) Act 1982 Taxi / Private Hire Car Driver s Licence Taxi/Private Hire Car Vehicle Licence Six Monthly Test of a Taxi/Private Hire Car Vehicle Substitution of a Taxi /Private Hire Car Vehicle Please read the attached TES for the type of licence you are applying for and complete the relevant questions in BLOCK CAPITALS Section 1 (to be completed by all applicants) Full Name Surname First Name(s) Home Address Postcode Address Contact Telephone Number(s) Date and Place of Birth Date of Birth Place of Birth Please indicate the type of licence you are applying for:- Taxi Driver Grant (Go to Section 2) Taxi Driver Renewal (Go to Section 2) Private Hire Driver Grant (Go to Section 2) Private Hire Driver Renewal (Go to Section 2) Taxi Vehicle - Grant (Go to Section 3) Taxi Vehicle Renewal (Go to Section 3) Private Hire Vehicle - Grant (Go to Section 3) Private Hire Vehicle - Renewal (Go to Section 3) Six Monthly Vehicle Test (Go to Section 3) Substitution of a Taxi/Private Hire Vehicle (Go to Section 3(f )) Section 2 Drivers a) If this is a renewal of Taxi/Private Hire car driver licence, please state your current licence number Driver No.. Expiry Date: b) Have you held during a continuous period of 12 months, immediately prior to the date of this application, a full driver s licence issued under the Road Traffic Acts? N/A If Yes please provide the following information:- Your D.V.L.A. Driver Number. Date your licence is valid from..to. (See the REVERSE of the Photo ID Card Sect: B for dates) Class(es) of Vehicles you are permitted to drive. Page 1 of 7 April 2014

2 c) How long have you been driving motor vehicles for? d) Are you aged 70 and over? If Yes you will require to produce a medical certificate from your G.P. certifying that you are medically fit to drive for the purposes of obtaining a licence. Please request a Medical Certificate form for completion if one is not already attached to the application. e) Do you have any medical condition/disability likely to affect your fitness as a driver? If Yes you will require to produce a medical certificate from your G.P. certifying that you are medically fit to drive for the purposes of obtaining a licence. Please request a Medical Certificate form for completion. f) Do you have any medical condition or chronic phobia of dogs that is likely to affect your ability to convey guide, hearing or assistance dogs in the vehicle? If Yes you will sent an exemption form which you should have your G.P. complete and return to the Licensing Authority as soon as possible. g) Name of Operator you will be driving for If you are applying for a Taxi/Private Hire Car Driver s Licence please proceed to Section 4 Section 3 Vehicles a) Are you applying for a licence as an individual or on behalf of a company or firm? INDIVIDUAL (Go to 3f)) COMPANY OR FIRM (Go to next question) b) Full name of Company or Firm c) Full Address of Principal or Registered Office d) Full names, private addresses, dates and places of birth of all Directors, Partners or other persons responsible for the management of the business (continue on a separate sheet if necessary).. Full name(s) Private Date(s) of Place(s) of Address(es) Birth Birth e) Full Name of the employee or agent responsible for the day to day management of the operation of the vehicle or business Full name Private Address Date of Birth Place of Birth Page 2 of 7 April 2014

3 f) About the vehicle:- Registration number Date of registration Vehicle make and model If this is a vehicle substitution application, please provide the registration of the current licence Plate Number if this is a vehicle renewal or substitution application Number of Doors CC of Engine Colour Chassis Number Is the vehicle Wheelchair Accessible? Number of Passengers Name of Insurance Company Yes No Date of Expiry of Insurance Driver + g) Total Number of Taxi/Private Hire car licences currently held by you h) Address of premises where the vehicle is to be kept i) Address of premises where the vehicle is to be operated from if different from above j) Number of vehicles operated from this address TAXIS PRIVATE HIRE Section 4 Declaration to be completed by all applicants a) Has the applicant or any person named on the application ever applied for and been refused such a Licence or had such a Licence suspended? If Yes please give details of which Council refused/suspended the Licence and the date it was refused/suspended. Council Date refused/suspended. b) Do you have any convictions against you? Note: Convictions includes both road traffic and criminal convictions. It includes both current and spent convictions (see [A] and [B] of the Appendix) Please complete the above Declaration and read the Fair Processing Notice overleaf before dating and signing the application form. Page 3 of 7 April 2014

4 FAIR PROCESSING TICE WHO MAY PROCESS YOUR PERSONAL DATA? The Information which you provide on the attached form will be processed by Aberdeenshire Council, which is a Data Controller of this information for the purposes of the Data Protection Act WHAT PERSONAL DATA WILL BE COLLECTED? The information which you provide on the attached form. This includes: Personal contact details FOR WHAT PURPOSES WILL YOUR PERSONAL DATA BE USED? The information which you provide on the attached form will be used by Aberdeenshire Council for the following purposes: Administration and issue of licences Maintenance of register of licences WILL ABERDEENSHIRE COUNCIL DISCLOSE YOUR PERSONAL DATA TO ANYONE ELSE? Yes. Your application will be forwarded to the following consultees while your application is being processed: Taxi/Private Hire Car Driver and Vehicle Licences Police Scotland Taxi/Private Hire Car Six Month test N/A Tax/Private hire Car Vehicle Substitution N/A I/We declare that I/We have read the terms of this application form and any related guidance. I/We declare that the particulars given by me/us on the form are correct to the best of my/our knowledge and belief. (See [B] of the Appendix.) Date:.. Signature of Applicant/Agent:. Address of Agent (if any): [A] Convictions The Licensing Authority can take into account any conviction against you in determining whether or not you are a fit and proper person. This includes any conviction that would normally be considered spent under the Rehabilitation of Offenders legislation. Please answer to any question if you have ever been convicted of an offence, be it a civil matter or criminal matter, a road traffic offence or other offence. You do not have to provide details of the actual conviction. The existence of convictions will not mean an automatic refusal of your application. It is likely, however that your application will be referred to the Licensing Sub-Committee for determination. You will be notified of date, time and place of the hearing in those circumstances. If you are not sure if something is a conviction or not, you should take advice on the matter or contact the relevant licensing office to discuss how to complete the question, before completing the application form. If you fail to answer this section correctly, you may commit an offence (see [B] below, and the Licensing Authority may conclude you have deliberately tried to conceal information from them, which will be taken into account when determining whether or not you are a fit and proper person to hold a licence. [B] Warning Any person who makes any statement in this application or in connection with it which he/she knows to be false or recklessly makes any statement which is false in a material particular shall be guilty of an offence and liable on summary conviction to a fine not exceeding 2,500. Page 4 of 7 April 2014

5 Please read the notes attached relevant to the type of licence you are applying for and submit your application, supporting documentation and payment to the appropriate office:- Aberdeenshire Council (North) Legal & Governance St Leonards Sandyhill Road, Banff AB45 1BH Tel: Aberdeenshire Council (Central) Legal & Governance Gordon House Blackhall Road Inverurie AB51 3WA Tel: Aberdeenshire Council (South) Legal & Governance Viewmount Arduthie Road, Stonehaven AB39 2DQ Tel: TES TAXI/PRIVATE HIRE CAR DRIVERS Qualifications The Licensing Authority cannot grant or renew a Taxi or Private Hire Car Driver s Licence unless that person has held a full driver s licence for a continuous period of 12 months immediately prior to the date of this application. The licence must clearly state that the licence is authorising them to drive a motor vehicle issued under the Road Traffic Acts or a licence which would at the time of the application entitle them to such a licence without taking a test. Please note that a driver who is the holder of a Public Service Vehicle (PSV) licence is not exempt from licensing requirements if he wishes to drive Taxis or Private Hire Cars. Photographs The Licensing Authority requires TWO passport sized photographs of the Applicant. One will be affixed to the Licence (if granted); one to the identity badge. Medical Examination The Licensing Authority may at any time require a driver to submit to a medical examination so that it may be satisfied that the driver is physically fit for the purpose of obtaining a licence. It should be noted that failure to disclose the appropriate medical details on the application form may have adverse consequences. Driver aged 70 and over Any driver aged 70 and over will require to produce a medical certificate from a General Practitioner (G.P.) certifying that the driver continues to be medically fit to drive for the purpose of obtaining a licence. This will be done at their own expense. The Licensing Authority may further require that the driver undergo a medical examination with the Authority s approved medical examiner so that the licensing authority may be satisfied that the person is fit for the purpose of obtaining a licence. Please request a Medical Certificate form for completion by your G.P. if one is not already attached to the application. Taxi Drivers Licences (Carrying of Guide Dogs and Hearing Dogs)(Scotland) Regulations 2002 Please read the attached advice sheet for Taxi Drivers. If you have a medical condition, are al lergic to or have a chronic phobia of dogs, you should answer to question (f) in Section 2. Thereafter, the licensing authority will forward an application form for an exemption to the 2002 Regulations. A medical certificate attaching to the exemption application will require to be completed by your General Practitioner. The completed application and medical certificate should then be submitted to the licensing authority as soon as possible. Duration of Licences Licences will come into effect on the date specified in the Licence. Driver s Licences will normally be granted for a period of THREE years, unless a shorter period is specified.. Your application will be forwarded to the following consultee(s) while your application is being processed: Police Scotland The fee for a Taxi/Private Hire Car Driver s Licence is 40. The fee is non-refundable. Cheques/postal orders should be made payable to Aberdeenshire Council. The following documents require to be submitted with your application :- Completed Application Form Cheque or postal order for passport sized photographs Driver s age 70 or over a Medical Certificate form completed by a G.P. Driver s who have answered to Section 2(f) a Medical Certificate form completed by your G.P. Page 5 of 7 April 2014

6 TAXI/PRIVATE HIRE CAR VEHICLES Duration of Licences Licences will come into effect on the date specified on the Licence. Vehicle Licences will normally be granted for ONE year, unless a shorter period is specified.. Your application will be forwarded to the following consultee(s) while your application is being processed: Police Scotland The fee for a Taxi/Private Hire Car Vehicle Licence is 150. The fee is non-refundable. Cheques/postal orders should be made payable to Aberdeenshire Council The following documents require to be submitted with your application:- Completed Application Form Cheque or postal order for 150. A copy of insurance SIX MONTH VEHICLE TEST There is no fee for a Six Month Vehicle Test The following documents require to be submitted with your application:- Completed Application Form SUBSTITUTION OF A TAXI/PRIVATE HIRE CAR VEHICLE Duration of Licences Licences will come into effect on the date specified on the Licence. Vehicle Licences will have effect up until the expiry date of the original vehicle licence. The fee for Substitution of a Taxi/Private Hire Car Vehicle is per plate required. Cheques/postal orders should be made payable to Aberdeenshire Council The following documents require to be submitted with your application:- Completed Application Form Cheque or postal order for 60 (taxi) or 70 (private hire). A copy of insurance Page 6 of 7 April 2014

7 ADVICE SHEET FOR TAXI/PRIVATE HIRE CAR DRIVERS CARRIAGE OF GUIDE, HEARING AND OTHER ASSISTANCE DOGS IN TAXIS/PRIVATE HIRE CARS DUTIES ON TAXI/PRIVATE HIRE CAR DRIVERS Under the Taxi Drivers Licences (Carrying of Guide Dogs and Hearing Dogs) (Scotland) Regulations 2003 and the Private Hire Car Drivers Licences (Carrying of Guide Dogs and Hearing Dogs) (Scotland) Regulations 2004 licensed taxi/private hire car drivers are required to carry guide, hearing and other assistance dogs accompanying disabled people, and to do so at no extra charge. The dog must also be allowed to remain with the passenger. To enable drivers, who have a medical condition that would be aggravated by carrying dogs to continue to drive taxis/private hire cars, the Regulations also allow licensing authorities to issue a notice which exempts them from such a requirement. TYPES OF DOG COVERED A guide dog trained to guide a blind person. Such dogs normally wear a harness. A hearing dog trained to assist a deaf person. Such dogs normally wear a jacket with the name of the charity. Any other assistance dog trained by a charity to assist a disabled person with a physical impairment which consists of epilepsy, or which otherwise impairs a person s ability to carry out routine daily tasks - the dog must be wearing a jacket inscribed with the name of the charity. In the event that a taxi driver has any doubt over entitlement, the owners of these dogs should be able to produce an identity card showing the name of the relevant charity that trained the dog. It is important to remember that all of these dogs are highly trained and will remain on the floor of your vehicle. They are very unlikely to damage or dirty it. FAILURE TO COMPLY WITH DUTY By failing to comply with a condition of licence a taxi/private hire car driver will (unless exempt from the requirement) be guilty of an offence under Section 7(2) of the Civic Government (Scotland) Act 1982 and will be liable on conviction to a fine of up to 1,000. It would also be open to the local authority to consider suspending your licence. EXEMPTIONS FROM THE REQUIREMENT TO CARRY DOGS Exemption from these duties can be sought on medical grounds only. It is anticipated that the number of taxi/private hire car drivers whose medical condition is so serious that they cannot carry dogs in their taxi/private hire car will be extremely small. If you have a medical condition, such as severe asthma, which is aggravated by contact with dogs, or if you are allergic to, or have a chronic phobia of dogs, it may be possible for you to qualify for an exemption. Application for an exemption should be made to your licensing authority. When considering your application for an exemption, the licensing authority will require details of your medical condition and may require you to undergo a medical examination and/or permission to contact your GP. If your application for exemption is successful you will be issued with a notice of exemption which will specify the vehicle or types of vehicle to which the exemption applies. You must display the notice of exemption by fixing it in a prominent position on the dashboard facing upwards or on the windscreen of the taxi/private hire car facing outwards. The exemption notice must only be displayed when the person named on the notice is driving the taxi/private hire car. APPEALS In the event that a licensing authority turns down your application for an exemption, it is open to you to obtain reasons for the licensing authority s refusal and to appeal to a Sheriff against the decision if you consider it appropriate to do so. Page 7 of 7 April 2014

DISABILITY DISCRIMINATION ACT 1995 TAXI PROVISIONS The Taxi Drivers Licences (Carrying of Guide Dogs and Hearing Dogs) Scotland Regulations 2001

DISABILITY DISCRIMINATION ACT 1995 TAXI PROVISIONS The Taxi Drivers Licences (Carrying of Guide Dogs and Hearing Dogs) Scotland Regulations 2001 DRAFT GUIDANCE DISABILITY DISCRIMINATION ACT 1995 TAXI PROVISIONS The Taxi Drivers Licences (Carrying of Guide Dogs and Hearing Dogs) Scotland Regulations 2001 Introduction 1. The Scottish Executive is

More information

Civic Government (Scotland) Act 1982

Civic Government (Scotland) Act 1982 Corporate Resources Legal Services Civic Government (Scotland) Act 1982 Application pack to substitute a vehicle for that designated as a taxi licence or a private-hire car licence This application pack

More information

fleetshield proposal form

fleetshield proposal form fleetshield proposal form FOR OFFICE USE ONLY: Policy.: Authorised: Agency: Broker/Agent: Quote Ref.: premium: A full policy wording is available on request Important: It is an offence under the ROAD TRAFFIC

More information

Please note: only original documents accepted

Please note: only original documents accepted HACKNEY CARRIAGE/PRIVATE HIRE DRIVER S LICENCE CHECKLIST Please note: only original documents accepted Applicants Use LSU Use ONLY Initials & Date LO Use ONLY Initials & Date Application form fully completed

More information

Application for a licence to operate private hire vehicles

Application for a licence to operate private hire vehicles Application for a licence to operate private hire vehicles Please read the notes at the back of this form carefully before completing the application Type of Application (place a tick in the appropriate

More information

BOAT HIRE LICENSING UNDER THE CIVIC GOVERNMENT (SCOTLAND) ACT 1982 NOTES FOR GUIDANCE

BOAT HIRE LICENSING UNDER THE CIVIC GOVERNMENT (SCOTLAND) ACT 1982 NOTES FOR GUIDANCE BOAT HIRE LICENSING UNDER THE CIVIC GOVERNMENT (SCOTLAND) ACT 1982 NOTES FOR GUIDANCE The following notes are a brief outline of the requirements for Boat Hire Licences under the above Act. They should

More information

Fair Trading will aim to make a decision on your application within 6 weeks after receiving all relevant information from you and other agencies.

Fair Trading will aim to make a decision on your application within 6 weeks after receiving all relevant information from you and other agencies. Application No. OFFICE USE ONLY Form PL-21 ABN 81 913 830 179 Property, Stock and Business Agents Act 2002 Application for a CERTIFICATE OF REGISTRATION FEE: $129.00 - applicable from 1 July 2015 to 30

More information

Application to be licensed as a new driver

Application to be licensed as a new driver Application to be licensed as a new driver This form should be completed and together with the appropriate fee and supporting documentation submitted at one of the Herefordshire council customer service

More information

Application for a Licence to drive a Hackney Carriage/Private Hire Vehicle in the Borough of High Peak

Application for a Licence to drive a Hackney Carriage/Private Hire Vehicle in the Borough of High Peak a 0845 129 77 77 High Peak Borough Council www.highpeak.gov.uk Application for a Licence to drive a Hackney Carriage/Private Hire Vehicle in the Borough of High Peak Information contained in this form

More information

APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996

APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996 WESTERN AUSTRALIA POLICE APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996 Instructions to applicants follow all of these steps to complete your application You must carefully

More information

Application for a Scrap Metal Licence

Application for a Scrap Metal Licence Application for a Scrap Metal Licence SECTION 1. TYPE OF APPLICATION (For all applicants) Please indicate the type of licence you are applying for (please tick): A site licence A collector s licence Are

More information

Blue Badge Application Disabled Person s Parking Badge

Blue Badge Application Disabled Person s Parking Badge Blue Badge Application Disabled Person s Parking Badge Form BB1 Part 1: Declaration to be filled in by all applicants Data Protection Act 1998 Have you been previously assessed regarding your mobility?

More information

Application to be Licensed as a NEW DRIVER PLEASE COMPLETE IN CLEAR BLOCK CAPITALS. Surname (MR.MRS.MISS.MS). Maiden Name...

Application to be Licensed as a NEW DRIVER PLEASE COMPLETE IN CLEAR BLOCK CAPITALS. Surname (MR.MRS.MISS.MS). Maiden Name... Application to be Licensed as a NEW DRIVER Receipt No:... Date:.. Income Code C05027 I91130 9128 This form should be completed and together with the appropriate fee and supporting documentation SUBMITTED

More information

APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996

APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996 Security & Related Activities (Control) Act 1996 Instructions to applicants follow all of these steps to complete your application You must carefully complete all sections and attach all required documents.

More information

LUTON BOROUGH COUNCIL. Taxi and Private Hire Licensing. Convictions and Fitness Policy

LUTON BOROUGH COUNCIL. Taxi and Private Hire Licensing. Convictions and Fitness Policy 1 Introduction LUTON BOROUGH COUNCIL Taxi and Private Hire Licensing Convictions and Fitness Policy 1.1. The purpose of this Policy is to provide guidance on the criteria used by the Council when determining

More information

MOTOR VEHICLE INSURANCE PROPOSAL FORM

MOTOR VEHICLE INSURANCE PROPOSAL FORM MOTOR VEHICLE INSURANCE PROPOSAL FORM In completing the Proposal Form please ensure that questions are answered fully and accurately and where necessary schedules giving further explanation are provided.

More information

APPLICATION FOR LANDLORD REGISTRATION

APPLICATION FOR LANDLORD REGISTRATION APPLICATION FOR LANDLORD REGISTRATION Under the Antisocial Behaviour etc (Scotland) Act 2004 You can use this form apply for registration as a landlord or landlord s agent with Orkney Islands Council.

More information

Single Machine Application for Permit

Single Machine Application for Permit Single Machine Application for Permit Please read the guidance notes that accompany this application before completing the application form. Please use this form if you wish to apply for a permit to supply,

More information

ABERDEEN CITY COUNCIL LICENCE APPLICATION FEES W/E/F 1 APRIL 2012 CIVIC DURATION FEE BOAT HIRE GRANT 1 YEAR 169 RENEWAL 147 TEMPORARY 6 WEEKS 94

ABERDEEN CITY COUNCIL LICENCE APPLICATION FEES W/E/F 1 APRIL 2012 CIVIC DURATION FEE BOAT HIRE GRANT 1 YEAR 169 RENEWAL 147 TEMPORARY 6 WEEKS 94 ABERDEEN CITY COUNCIL LICENCE APPLICATION FEES W/E/F 1 APRIL 2012 CIVIC DURATION FEE BOAT HIRE GRANT 1 YEAR 169 RENEWAL 147 TEMPORARY 6 WEEKS 94 INDOOR SPORTS GRANT 3 YEARS 695 RENEWAL 530 VARIATION 273

More information

Application for a Certificate of Approval

Application for a Certificate of Approval Private Security Personnel Licensing Authority For more information visit www.pspla.govt.nz Application for a Certificate of Approval Under the Private Security Personnel and Private Investigators Act

More information

Application for Employment

Application for Employment Application for Employment Thank you for considering a career with us. Please think carefully about the completion of this application form. If you are interested in working with people and helping your

More information

PRIVATE HIRE DRIVERS LICENCE FIRST APPLICATION

PRIVATE HIRE DRIVERS LICENCE FIRST APPLICATION PLANNING AND REGULATION SERVICES Peter Rowlinson BA (Hons) MSc MRTPI Head of Planning and Regulation Services ENVIRONMENTAL HEALTH AND LICENSING SERVICE Andy Glover LLB, DTS, DMS, MTSI, MCIM Chief Environmental

More information

COMMERCIAL VEHICLE PROPOSAL FORM YOU LL ONLY NEED TO WORRY ABOUT THE TRAFFIC

COMMERCIAL VEHICLE PROPOSAL FORM YOU LL ONLY NEED TO WORRY ABOUT THE TRAFFIC COMMERCIAL VEHICLE PROPOSAL FORM YOU LL ONLY NEED TO WORRY ABOUT THE TRAFFIC Introduction Choice of Cover Third Party Fire and Theft You are covered for liability to third parties (including passengers)

More information

CAN I GET A BLUE BADGE?

CAN I GET A BLUE BADGE? Appendix 1 Application for a Blue Badge Durham County Council Children and Adults Services Blue Badge Team PO Box 115 Green Lane, Spennymoor County Durham, DL16 9BX Tel: 03000 269 425 Email Bluebadgescheme@durham.gov.uk

More information

MOTOR ACCIDENT REPORT (NOT FOR USE ON THEFT CLAIMS OR MOTOR TRADE)

MOTOR ACCIDENT REPORT (NOT FOR USE ON THEFT CLAIMS OR MOTOR TRADE) Insurance Company Limited MOTOR ACCIDENT REPORT (NOT FOR USE ON THEFT CLAIMS OR MOTOR TRADE) First Response Claims Line 0845 373 1300 Fax 020 7068 7740 Email claims@tradex.com www.tradex.com Policyholder

More information

APPLICATION FOR A STREET TRADING CONSENT

APPLICATION FOR A STREET TRADING CONSENT LOCAL GOVERNMENT (MISCELLANEOUS PROVISIONS) ACT 1982 APPLICATION FOR A STREET TRADING CONSENT 1. APPLICANT DETAILS Full Name: Current Residential Address: Telephone Number: Mobile Number (optional): Email:

More information

This standard involves verification of identity; nationality and immigration status; employment history (past 3 years) and criminal record.

This standard involves verification of identity; nationality and immigration status; employment history (past 3 years) and criminal record. HUMAN RESOURCES, SECURITY AND FACILITIES DIVISION BASELINE PERSONNEL SECURITY STANDARD All government departments are required to ensure that any personnel employed/engaged by them to work in their offices

More information

THE COUNTY OF HEREFORDSHIRE DISTRICT COUNCIL DRAFT PENALTY POINTS SCHEME

THE COUNTY OF HEREFORDSHIRE DISTRICT COUNCIL DRAFT PENALTY POINTS SCHEME THE COUNTY OF HEREFORDSHIRE DISTRICT COUNCIL DRAFT PENALTY POINTS SCHEME 25 1 Index Page 1. Penalty Points Scheme 3 2. Recommendations 4 3. List Of Offences/Breach Of Licence Conditions/Byelaws 5 4. Driver

More information

PLEASE READ BEFORE COMPLETING YOUR APPLICATION

PLEASE READ BEFORE COMPLETING YOUR APPLICATION Application to become a Licensed London Private Hire Operator Dear Applicant PLEASE READ BEFORE COMPLETIG OUR APPLICATIO Thank you for applying to become a Licensed London Private Hire Operator. Enclosed

More information

MOTOR TRADE ROAD RISKS ANNUAL DECLARATION COVER ENGINEERED FOR THE MOTOR TRADE

MOTOR TRADE ROAD RISKS ANNUAL DECLARATION COVER ENGINEERED FOR THE MOTOR TRADE MOTOR TRADE ROAD RISKS ANNUAL DECLARATION COVER ENGINEERED FOR THE MOTOR TRADE Motor Trade Road Risks Important Note You (or the broker or agent completing the form on your behalf) must provide all material

More information

MOTOR FLEET PROPOSAL FORM

MOTOR FLEET PROPOSAL FORM MOTOR FLEET PROPOSAL FORM One Coval Wells Chelmsford Essex CM1 1WZ Tel: 01245 272700 Fax: 01245 272701 QBE European Operations is a trading name of QBE Insurance (Europe) Limited, no. 01761561 ( QIEL ),

More information

Proposal Form Commercial Vehicle

Proposal Form Commercial Vehicle Commercial Vehicle for your commercial vehicle insurance Introduction About NIG Thank you for choosing NIG as your Commercial Vehicle insurer. We have been established for over 100 years and provide insurance

More information

Fit and proper person form

Fit and proper person form Fit and proper person form Last updated: 9 March 2015 About this form To hold any maritime document(s), you are required to be a fit and proper person. This applies at all times while the documents are

More information

RENT A MOTOR CYCLE SCHEME, 1997 1

RENT A MOTOR CYCLE SCHEME, 1997 1 RENT A MOTOR CYCLE SCHEME, 1997 1 In exercise of powers conferred by section 75 of the Motor Vehicles Act, 1988 (59 of 1988), Central Government hereby makes the following scheme for regulating the business

More information

Motor Trade Road Risks. Proposal Form

Motor Trade Road Risks. Proposal Form Motor Trade Road Risks Proposal Form PLEASE ANSWER ALL QUESTIONS FULLY IN BLOCK CAPITALS If there is insufficient space for any answers please continue on the back page 1. PROPOSER Mr Mrs Miss Ms Surname

More information

COMMERCIAL VEHICLE INSURANCE PROPOSAL

COMMERCIAL VEHICLE INSURANCE PROPOSAL Tradewise Insurance Services Ltd COMMERCIAL VEHICLE INSURANCE PROPOSAL SUMMARY OF COVER This is a brief outline only - a copy of the policy wording including all terms and conditions may be obtained on

More information

Payment must be made at the time of application. The principal fee for registration is 55 plus 11 per property. You can also apply online at

Payment must be made at the time of application. The principal fee for registration is 55 plus 11 per property. You can also apply online at 0BAPPLICATION FOR LANDLORD REGISTRATION 1BUnder the Antisocial Behaviour etc (Scotland) Act 2004 You can use this form to apply for registration as a landlord or landlord s agent with West Dunbartonshire

More information

1. Your Details 2. Insured Vehicle Description

1. Your Details 2. Insured Vehicle Description MOTOR VEHICLE CLAIM The issue or acceptance of this form is not to be construed as an admission of liability on the part of the company. Shaded areas for office use only. Please print clearly. Claim Number

More information

MASSAGE THERAPY CERTIFICATE 2016 LICENSE APPLICATION INSTRUCTIONS City of Plymouth 3400 Plymouth Boulevard, Plymouth, MN 55447 763-509-5000

MASSAGE THERAPY CERTIFICATE 2016 LICENSE APPLICATION INSTRUCTIONS City of Plymouth 3400 Plymouth Boulevard, Plymouth, MN 55447 763-509-5000 MASSAGE THERAPY CERTIFICATE 2016 LICENSE APPLICATION INSTRUCTIONS City of Plymouth 3400 Plymouth Boulevard, Plymouth, MN 55447 763-509-5000 The following application forms must be completed, by the individual

More information

Motor Vehicle Claim Form

Motor Vehicle Claim Form Motor Vehicle Claim Form MOTOR VEHICLE CLAIM FORM Dear Policyholder, We re sorry to hear you ve had an accident. Our aim is to settle your claim as quickly as possible. You can help us do this by ensuring

More information

Christmas Island National Park

Christmas Island National Park Christmas Island National Park Phone: 08 9164 8700 Permit application form for commercial tours Please contact the park office at the phone number shown above, to obtain further details and a copy of the

More information

MOTOR VEHICLE CLAIM FORM

MOTOR VEHICLE CLAIM FORM MOTOR VEHICLE CLAIM FORM The Issue of this Form is not an Admission of Liability by Insurers We understand the difficulties arising from your accident. Please complete and return this claim form as soon

More information

CENTRAL BEDFORDSHIRE COUNCIL CRIMINAL CONVICTION POLICY

CENTRAL BEDFORDSHIRE COUNCIL CRIMINAL CONVICTION POLICY CENTRAL BEDFORDSHIRE COUNCIL CRIMINAL CONVICTION POLICY STATEMENT OF POLICY ABOUT RELEVANT CONVICTIONS POLICY AIM To promote and maintain the highest professional standard of hackney carriage and private

More information

Personal Information. Driver Licence Information

Personal Information. Driver Licence Information Applicant : Title Have you ever applied for employment with, or worked for Sussex Bus or other affiliated company? Surname Personal Information Forename(s): Application for Employment DRIVER Please answer

More information

Data Protection Policy

Data Protection Policy Data Protection Policy Introduction The Data Protection Act 1998 gives individuals the right to know what personal information is held about them. It provides a framework to ensure that the Office of the

More information

Private Hire/Hackney Carriage Vehicle Notification Of Accident Damage (TRA17)

Private Hire/Hackney Carriage Vehicle Notification Of Accident Damage (TRA17) Private Hire/Hackney Carriage Vehicle Notification Of Accident Damage (TRA17) www.stockton.gov.uk Trading Standards & Licensing, PO Box 232, 16 Church Road, Stockton on Tees TS18 1XD Tel: (01642) 526558

More information

NATIONAL POLICE HISTORY CHECK INFORMATION 2014. Western Australian Education and Training Sectors

NATIONAL POLICE HISTORY CHECK INFORMATION 2014. Western Australian Education and Training Sectors NATIONAL POLICE HISTORY CHECK INFORMATION 2014 Western Australian Education and Training Sectors HOW TO COMPLETE THE NATIONAL POLICE CHECKING SERVICE (NPCS) APPLICATION/CONSENT FORM Please read all information

More information

WIGAN COUNCIL'S CCTV SURVEILLANCE SYSTEM

WIGAN COUNCIL'S CCTV SURVEILLANCE SYSTEM WIGAN COUNCIL'S CCTV SURVEILLANCE SYSTEM This document contains advice and information for the general public regarding data recorded by Wigan Council's CCTV Systems and the provisions of the Data Protection

More information

Job Application Form

Job Application Form Name: Position Applied For: SIA Badge No: Transport: Information Applications should be completed in BLOCK CAPITALS and in BLACK ink. Please check that all the sections have been completed. endorse this

More information

COMMERCIAL VEHICLE ACCIDENT REPORT FORM

COMMERCIAL VEHICLE ACCIDENT REPORT FORM Tradewise Insurance Services Ltd COMMERCIAL VEHICLE ACCIDENT REPORT FORM 300 Southbury Road Enfield, Middx EN1 1TS Tel: 0344 620 1234 Claims Department Fax: 020 8350 2350 Driving entitlement consent form

More information

MOTOR TRADE CLAIM FORM

MOTOR TRADE CLAIM FORM Insurance Company Limited MOTOR TRADE CLAIM FORM First Response Claims Line 0845 373 1300 Fax 020 7068 7740 Email claims@tradex.com www.tradex.com Policyholder s Name Company Name Policy No. (cover note

More information

MOTOR FLEET. Proposal Form November 2004 Edition

MOTOR FLEET. Proposal Form November 2004 Edition MOTOR FLEET Proposal Form vember 2004 Edition Important tice To apply for the Motor Fleet Insurance Policy, complete this Proposal Form in BLOCK CAPITALS using a ball-point pen (blue or black ink). You

More information

ROAD RISKS PROPOSAL FORM

ROAD RISKS PROPOSAL FORM ROAD RISKS PROPOSAL FORM Granite Underwriting limited Form GU-VRR002 Daniel House, 36 Chapel Lane, Formby, Merseyside L37 4DU Completed proposal forms should be returned to the above address. Data Protection

More information

South Ayrshire Council Appeals Procedure for Taxi / Private Hire Car Testing

South Ayrshire Council Appeals Procedure for Taxi / Private Hire Car Testing Index 1. PURPOSE... 2 2. SCOPE... 2 3. RESPONSIBILITIES... 2 4. PROCEDURE FOR OWNERS/OPERATORS... 2 4.1 FAILURE OF TEST ITEM 1... 2 4.2 FAILURE OF OTHER TEST ITEMS EXCEPT ITEM 1... 3 4.3 COMPENSATION...

More information

SUBSIDIARY LEGISLATION 104.01 MOTOR VEHICLES INSURANCE REGULATIONS

SUBSIDIARY LEGISLATION 104.01 MOTOR VEHICLES INSURANCE REGULATIONS MOTOR VEHICLES INSURANCE [S.L.104.01 1 SUBSIDIARY LEGISLATION 104.01 MOTOR VEHICLES INSURANCE REGULATIONS 1st August, 1947 GOVERNMENT NOTICE 611 of 1939, as amended by Government Notice 221 of 1947 and

More information

BERMUDA PRIVATE INVESTIGATORS AND SECURITY GUARDS ACT 1974 1974 : 78

BERMUDA PRIVATE INVESTIGATORS AND SECURITY GUARDS ACT 1974 1974 : 78 QUO FA T A F U E R N T BERMUDA PRIVATE INVESTIGATORS AND SECURITY GUARDS ACT 1974 1974 : 78 TABLE OF CONTENTS 1 2 3 4 4A 5 6 6A 7 8 9 9A 10 11 12 13 14 15 16 17 18 Interpretation Application of the Act

More information

P R E S E N T: Councillor Thomas (Chair)

P R E S E N T: Councillor Thomas (Chair) Minutes of the Meeting of the LICENSING ENFORCEMENT SUB-COMMITTEE Held: TUESDAY, 9 JUNE 2015 at 9:30 am P R E S E N T: Councillor Thomas (Chair) Councillor Byrne Councillor Shelton * * * * * * * * 122.

More information

MOTOR ACCIDENT MARINE CLAIM FORM

MOTOR ACCIDENT MARINE CLAIM FORM Please complete in full the relevant sections and submit it to:, P.O. Box 45, Regal House, Queensway,. If any sections are not applicable please add N/A. INSURED Full Name: Policy No.: Postcode: Business

More information

Application for Registration as an Agent s Representative

Application for Registration as an Agent s Representative Application for Registration as an Agent s Representative Agents Licensing Act Please print in block letters. If there is insufficient space, attach extra sheets. All questions must be answered and full

More information

HAULAGE VEHICLE INSURANCE. Proposal Form November 2004 Edition

HAULAGE VEHICLE INSURANCE. Proposal Form November 2004 Edition HAULAGE VEHICLE INSURANCE Proposal Form vember 2004 Edition Important tice To apply for the Haulage Vehicle Insurance Policy, complete this Proposal Form in BLOCK CAPITALS using a ball-point pen (blue

More information

Using your Minibus legally and safely Church of Scotland Law Department

Using your Minibus legally and safely Church of Scotland Law Department Circular August 2012 Minibus Guidance CoS Law Department Using your Minibus legally and safely Church of Scotland Law Department Why is this guide important? The use of minibuses and other large vehicles

More information

APPLICATION FOR. License Fee Only. Non- NZTA

APPLICATION FOR. License Fee Only. Non- NZTA C4:08-15 NEW ZEALAND THOROUGHBRED RACING INC PO Box 38386, WMC Telephone: (04) 576 6240 Facsimile: (04) 568 8866 Web: www.nzracing.co.nz Email: licensing@nzracing.co.nz APPLICATION FOR Non- NZTA License

More information

Application for a real estate salesperson registration certificate

Application for a real estate salesperson registration certificate New registration application Form 3 1 Notes Application for a real estate salesperson registration certificate Property Occupations Act 2014 This form is effective from 1 December 2014 ABN: 13 846 673

More information

Motor Fleet Fact Finder (Private/public hire)

Motor Fleet Fact Finder (Private/public hire) Page 1 of 8 Company Name Address Business Description Company Website Address VAT Registration Number Current Insurer Policy Number Renewal Date Section A Vehicles (1) Please indicate the number of vehicles

More information

PRIVATE HIRE VEHICLE LICENCE AND PRIVATE HIRE OPERATOR S CONDITIONS (effective 1 January 2013)

PRIVATE HIRE VEHICLE LICENCE AND PRIVATE HIRE OPERATOR S CONDITIONS (effective 1 January 2013) PRIVATE HIRE VEHICLE LICENCE AND PRIVATE HIRE OPERATOR S CONDITIONS (effective 1 January 2013) 1. A private hire vehicle proprietor is an owner or part-owner of a vehicle, or where a vehicle is subject

More information

or Insurance Proposal for Motor Insurance Motor Insurance Proposal for Proposal for COSMOS INSURANCE COMPANY PUBLIC LTD HEAD OFFICE

or Insurance Proposal for Motor Insurance Motor Insurance Proposal for Proposal for COSMOS INSURANCE COMPANY PUBLIC LTD HEAD OFFICE Proposal for Proposal for Proposal for Motor Insurance Motor Insurance or Insurance COSMOS INSURANCE COMPANY PUBLIC LTD HEAD OFFICE 46, Griva Digeni Avenue, 1080 Nicosia, P.O.Box 21770, 1513 Nicosia Tel:

More information

BRISTOL CITY COUNCIL MINUTES OF A MEETING OF THE PUBLIC SAFETY AND PROTECTION SUB-COMMITTEE A HELD ON 6 TH JULY 2010 AT 10.00 A.M.

BRISTOL CITY COUNCIL MINUTES OF A MEETING OF THE PUBLIC SAFETY AND PROTECTION SUB-COMMITTEE A HELD ON 6 TH JULY 2010 AT 10.00 A.M. BRISTOL CITY COUNCIL AGENDA ITEM NO. 5 (D) MINUTES OF A MEETING OF THE UBLIC SAFETY AND ROTECTION SUB-COMMITTEE A HELD ON 6 TH JULY 2010 AT 10.00 A.M. Councillor Muriel Cole Councillor Brenda Hugill (in

More information

STATUTORY INSTRUMENTS. S.I. No.[ ] of 2014 SMALL PUBLIC SERVICE VEHICLE (CONSOLIDATION AND REFORM) REGULATIONS 2014

STATUTORY INSTRUMENTS. S.I. No.[ ] of 2014 SMALL PUBLIC SERVICE VEHICLE (CONSOLIDATION AND REFORM) REGULATIONS 2014 STATUTORY INSTRUMENTS S.I. No.[ ] of 2014 SMALL PUBLIC SERVICE VEHICLE (CONSOLIDATION AND REFORM) REGULATIONS 2014 SMALL PUBLIC SERVICE VEHICLE (CONSOLIDATION AND REFORM) REGULATIONS 2014 ARRANGEMENT OF

More information

Please print clearly 1 Please complete your name, address and contact details below. Title Surname Full given name(s)

Please print clearly 1 Please complete your name, address and contact details below. Title Surname Full given name(s) Bank of Melbourne Home and Contents Insurance Claim Case no. About this form Only complete this form if your claim is in respect to loss of or damage to Buildings/Contents/Personal Valuables or Legal Liability.

More information

You must have completed both modules of your PCV Theory test which includes: Hazard Perception Multiple Choice Driver CPC case studies test

You must have completed both modules of your PCV Theory test which includes: Hazard Perception Multiple Choice Driver CPC case studies test Date as download Dear Applicant, Thank you for your enquiry about training to become a bus driver with Yourbus, an Application form and D4 Medical Examination Report is enclosed with this letter. In order

More information

Application for an Operator s Licence for the Carriage of Goods by Road

Application for an Operator s Licence for the Carriage of Goods by Road Application for an Operator s Licence for the Carriage of Goods by Road To avoid delays in processing your application, kindly read this form carefully, and fill it in completely. The Authority for Transport

More information

HC VEHICLE Local Government (Miscellaneous Provisions) Act 1976 The Town Police Clauses Act 1847

HC VEHICLE Local Government (Miscellaneous Provisions) Act 1976 The Town Police Clauses Act 1847 HC VEHICLE Local Government (Miscellaneous Provisions) Act 1976 The Town Police Clauses Act 1847 NEW APPLICATION FOR HACKNEY CARRIAGE VEHICLE LICENCE APPLICANT DETAILS Full Name Home Address Home Telephone

More information

MOTOR VEHICLES, ACCIDENTS AND ALCOHOL

MOTOR VEHICLES, ACCIDENTS AND ALCOHOL MOTOR VEHICLES, ACCIDENTS AND ALCOHOL This is a guide to what you must and should do if you: are involved in a motor accident; have dealings with a police officer involving a motor vehicle; are required

More information

Motor Vehicle Insurance Claim. Insured

Motor Vehicle Insurance Claim. Insured Suite 5 & 6 156 Oxford St, Leederville WA 6007 PO Box 495, Leederville WA 6903 Freecall: 1800 776 747 Facsimile: 1800 194 525 Email: info@mynfib.com.au ABN 23 108 296 064 National Franchise Insurance Brokers

More information

HACKNEY CARRIAGE AND PRIVATE HIRE DRIVER S LICENCES

HACKNEY CARRIAGE AND PRIVATE HIRE DRIVER S LICENCES HACKNEY CARRIAGE AND PRIVATE HIRE DRIVER S LICENCES Information and Guidance Notes for New Drivers Qualifications for new drivers Applicants must: be a fit and proper person to hold a licence be over the

More information

Data Protection Act 1998 Subject Access Request - Application Form

Data Protection Act 1998 Subject Access Request - Application Form Data Protection Act 1998 Subject Access Request - Application Form Subject to certain exemptions, you have a right to information held about you i.e. your personal data. You as the Data Subject have a

More information

APPLICATION FOR NEW CERTIFICATE OF COMPETENCE

APPLICATION FOR NEW CERTIFICATE OF COMPETENCE APPLICATION FOR NEW CERTIFICATE OF COMPETENCE This is an application form for a certificate of competence under the Health and Safety in Employment (Mining Operations and Quarrying Operations) Regulations

More information

Part B Application form. Application for a Permit to operate a Dry Cleaning process

Part B Application form. Application for a Permit to operate a Dry Cleaning process Part B Application form Application for a Permit to operate a Dry Cleaning process Local Authority Pollution Prevention and Control Pollution Prevention and Control Act, 1999 Pollution Prevention and Control

More information

ARCHITECTS BOARD OF WESTERN AUSTRALIA

ARCHITECTS BOARD OF WESTERN AUSTRALIA ARCHITECTS BOARD OF WESTERN AUSTRALIA Application for Registration in Western Australia under Mutual Recognition Form 02 3 August 2015 Use of this Form This form is to be used by people wishing to apply

More information

MOTOR VEHICLE ACCIDENT Claim Report

MOTOR VEHICLE ACCIDENT Claim Report MOTOR VEHICLE ACCIDENT Claim Report HBA General Insurance and Mutual Community General Insurance Insurer: Mutual Community General Insurance Pty Ltd Abn 59 007 895 543 Please retain this page for your

More information

Application for a Renewal Street Trading Licence Pursuant to the London Local Authorities Act 1990 (as amended) Important Notes:

Application for a Renewal Street Trading Licence Pursuant to the London Local Authorities Act 1990 (as amended) Important Notes: Application for a Renewal Street Trading Licence Pursuant to the London Local Authorities Act 1990 (as amended) Important Notes: 1. If you are completing this form by hand please write legibly in block

More information

MOTOR FLEET INSURANCE PROPOSAL FORM

MOTOR FLEET INSURANCE PROPOSAL FORM 1. Details of Proposer(s): Trading Name (If any): Correspondence Address: Tel: Fax: Mobile: E-mail: Business or Occupation: Company website address (if any): 2. Details of Vehicles: Sr.. Manufacture Make

More information

Autovan Commercial Motor Insurance Proposal form

Autovan Commercial Motor Insurance Proposal form Autovan Commercial Motor Insurance Proposal form Agent s name Agent s number Policy number te: Please use BLOCK CAPITALS and tick YES or NO where appropriate. Please initial any alterations. A. Proposer

More information

Licence Chapter 639 Special Transportation Services

Licence Chapter 639 Special Transportation Services Licence Special Transportation Services 639.1.1 Citation Chapter Index Article - 1 Short Title Article 2 - Interpretation 639.2.1 Accessible vehicle - defined 639.2.2 City - defined 639.2.3 Clerk - defined

More information

Council CCTV Surveillance System Data Protection Act, 1998

Council CCTV Surveillance System Data Protection Act, 1998 Council CCTV Surveillance System Data Protection Act, 1998 How to Apply for Access to Information held on the CCTV System These notes explain how you find out what information, if any is held about you

More information

Land Registry Help protect yourself from property fraud keep your contact details up-to-date. May 2016

Land Registry Help protect yourself from property fraud keep your contact details up-to-date. May 2016 Land Registry Help protect yourself from property fraud keep your contact details up-to-date May 2016 Could you be at risk of property fraud? If you own a property, it could be a target for fraudsters,

More information

VEHICLE ACCIDENT CLAIM FORM

VEHICLE ACCIDENT CLAIM FORM Please help us to help you by: completing all relevant questions in full as this can avoid the need for further enquiry and possible delay in settling your claim signing and dating page 7 of this form

More information

Operating Licence Notification of Change

Operating Licence Notification of Change Operating Licence Notification of Change Please read the Operating Licence Notification of Change Guidance Notes before completing this application form. This form will be scanned. Therefore please complete

More information

GUIDELINES TO THE RELEVANCE OF CONVICTIONS FOR HACKNEY CARRIAGE / PRIVATE HIRE DRIVER LICENCE APPLICANTS

GUIDELINES TO THE RELEVANCE OF CONVICTIONS FOR HACKNEY CARRIAGE / PRIVATE HIRE DRIVER LICENCE APPLICANTS Introduction GUIDELINES TO THE RELEVANCE OF CONVICTIONS FOR HACKNEY CARRIAGE / PRIVATE HIRE DRIVER LICENCE APPLICANTS It is an absolute requirement for any person completing an application to disclose

More information

I have today decided to disclose the located information to you in full.

I have today decided to disclose the located information to you in full. Freedom of Information Request Reference No: I note you seek access to the following information: Under Police Statutory Removal powers, a motor vehicle can be removed to a recovery operators premises

More information

Macquarie Life Total Permanent Disability (TPD): Claimant s Statement

Macquarie Life Total Permanent Disability (TPD): Claimant s Statement Macquarie Life Total Permanent Disability (TPD): Claimant s ment Filling in this statement Please complete all sections, use black ink and mark boxes like this with an X. 1 May we disclose information

More information

Guidance on health and character

Guidance on health and character Guidance on health and character Who is this document for?... 2 About the structure of this document... 2 Section 1: Introduction... 4 About us (the HPC)... 4 How we are run... 5 About registration...

More information

APPLICATION FOR REGISTRATION AS A BUILDING PRACTITIONER CERTIFYING ENGINEER - INDIVIDUAL

APPLICATION FOR REGISTRATION AS A BUILDING PRACTITIONER CERTIFYING ENGINEER - INDIVIDUAL NORTHERN TERRITORY BUILDING PRACTITIONERS BOARD APPLICATION FOR REGISTRATION AS A BUILDING PRACTITIONER CERTIFYING ENGINEER - INDIVIDUAL SECTION 1 PERSONAL DETAILS FAMILY NAME (Surname) GIVEN NAME (First

More information

Motor Vehicle Claim Form

Motor Vehicle Claim Form Motor Vehicle Claim Form Dear Policyholder, We re sorry to hear you ve had an accident. Our aim is to settle your claim as quickly as possible. You can help us do this by ensuring the enclosed claim form

More information

Road Transport (Drink Driving) Legislation Amendment Bill 2010

Road Transport (Drink Driving) Legislation Amendment Bill 2010 00 THE LEGISLATIVE ASSEMBLY FOR THE AUSTRALIAN CAPITAL TERRITORY (As presented) (Minister for Transport) Road Transport (Drink Driving) Legislation Amendment Contents Page Part Preliminary Name of Act

More information

Motor Vehicle. Claim Report

Motor Vehicle. Claim Report Motor Vehicle Claim Report Please retain this page for your information IMPORTANT INFORMATION ABOUT YOUR CLAIM This form must be completed and signed by the person who was driving your vehicle, or the

More information

Business Card Application Form

Business Card Application Form Business Card Application Form Apply for your PGG Wrightson Rewards Business Card today and start earning the Rewards you deserve! Looking for a convenient way to manage your business spending needs while

More information

APPLICATION FORM. Personal details. Surname or Family Name. Employer s Address & Postcode. Do you hold a current driving licence?

APPLICATION FORM. Personal details. Surname or Family Name. Employer s Address & Postcode. Do you hold a current driving licence? APPLICATION FORM Personal details Post Applied For Personal Nursing Assistants Surname or Family Name First Name(s) Other names Home Address & Postcode Home Tel No Mobile No Daytime Tel No Email Address

More information

Motor Vehicle. Claim Report

Motor Vehicle. Claim Report Motor Vehicle Claim Report Please retain this page for your information IMPORTANT INFORMATION ABOUT YOUR CLAIM This form must be completed and signed by the person who was driving your vehicle, or the

More information

Hampstead Parochial CofE Primary School Data Protection Policy Spring 2015

Hampstead Parochial CofE Primary School Data Protection Policy Spring 2015 Hampstead Parochial CofE Primary School Data Protection Policy Spring 2015 1. Introduction and Scope 1.1 The Data Protection Act 1998 is the law that protects personal privacy and applies to any school

More information