* Do you have a current, valid Driving Licence? *
o Yes
o No
* If Yes, select all that apply
o Motorcycle
o Car
o Lorry
o Bus
Additional Information
* Applying to be a driver? *
Driving Licence Information
Please supply the following information requested below as it appears on your licence.
1. Location Applying for
2. Surname * (1)
3. Forename(s) * (2)
4. Date of issue * (4a)
5. Date of expiry * (4b)
6. Issued by * (4c)
7. Licence number * (5)
Hidden
8. Hidden Licence categories (9)
Licence Categories
Please supply the C1 category details.
9. C1 - Date of issue * (10)
10. C1 - Date of expiry * (11)
11. C1 - Codes * (12) 0 of 16 max characters
Please supply the C category details.
12. C - Date of issue * (10)
13. C - Date of expiry * (11)
14. C - Codes * (12) 0 of 16 max characters
Please supply the C+E category details.
15. C+E - Date of issue * (10)
16. C+E - Date of expiry * (11)
17. C+E - Codes * (12) 0 of 16 max characters
Other (Please specify if relevant for your application)
18. Other - Date of issue (10)
19. Other - Date of expiry (11)
20. Other - Codes (12) 0 of 16 max characters
Digital Tachograph Card (Driver Card)
Please supply the following information requested below as it appears on your Digital Tachograph Card.
21. Date of issue * (4a)
22. Date of expiry * (4b)
23. Driving card number * (5b)
Driver Qualification Card / Driver CPC
Please supply the following information requested below as it appears on your Driver Qualification Card.
24. Date of issue * (4a)
25. Date of expiry * (4b)
26. DCPC courses Please give details of any DCPC courses undertaken toward re-qualification.
Other Information
* In the past 3 years, have you been convicted or have any prosecutions pending? *
* Please give details
* Do you have any endorsements on your licence? *
* Please give details
* Are there any other driving licence restrictions that prevent you from applying for this role? *
* Please give details
* How did you hear about the role? *
o Newspaper
o Magazine
o Current Employee
o Football Referral
o Internet
o Other
* Please detail *
* Please specify the name of the employee
* Friend's name
* Referred from
* Do you need a work permit to work in the UK? *
o Yes
o No
* Permit to work - other *
* Do you have any criminal convictions, spent or unspent? *
o Yes
o No
* Please detail *
* Fagan and Whalley Limited is an equal opportunities employer and welcomes applications from anybody who feels they have the relevant skills for the specific role.
Employment History
* Employer Name
* Job Title
* Address
* Postcode
* Phone
* Email
* Rate Of Pay
* Date of Employment
* to
* Reason For Leaving
* Notice Period (if required)
* Additional Employer
o Add additional employer
* Employer Name
* Job Title
* Address
* Postcode
* Phone
* Email
* Rate Of Pay
* Date of Employment
* to
* Reason For Leaving
* Notice Period (if required)
* Add additional employer
* Employer Name
* Job Title
* Address
* Postcode
* Phone
* Email
* Rate Of Pay
* Date of Employment
* to
* Reason For Leaving
* Notice Period (if required)
* Add additional employer
* Employer Name
* Job Title
* Address
* Postcode
* Phone
* Email
* Rate Of Pay
* Date of Employment
* to
* Reason For Leaving
* Notice Period (if required)
* No approach will be made for references to your present or previous employer(s) before an offer of employment is made and accepted.
Qualifications & Training
Subject
Exam / Qualification
Date Achieved
Status
27. Additional information / comments / hobbies
28. Upload CV Max. file size: 100 MB.
I hereby declare that all information provided within this application for employment is correct to the best of my knowledge and belief. I understand that providing false information could result in an offer of employment being revoked.
Under the current relevant legislation, I give my explicit consent to Fagan and Whalley Ltd to process the information I have provided herein for the purposes of the recruitment and selection process. I understand that the information I have provided will not be shared with any third parties, and that after 6 months from the date of receipt, will be securely removed from file should my application not be successful.
* Signature *
* *
o I confirm I have read the above information
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Get in touch
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Bayton Road
Exhall
Coventry, Warwickshire
CV7 9EJ
Burnley Bridge
Business Park
Junction 9, M65
Burnley, Lancashire
BB12 7BF
Fagan & Whalley Ltd
Frontier Park
Blackburn
Lancashire
BB1 3AL
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