Vacancies

If you are interested in applying for a position with our company, please fill out the following form and submit it.

Your Name (required)

Your Email (required)

Address


Home Phone Number

Mobile Number

Date of Birth

N I/PPS Number


What type of heavy goods licence do you hold?

On What date did you obtain it?

Who is the issuing authority?


Please state type of Heavy Goods Vehicle you have driven and for what periods

Ton

From

To

Employer Name

Employer Phone Number


Have you any health or physical defect, infirmity or condition which could impair your ability to drive i.e. vision or hearing :

 Yes

 No

If YES, Please give details:

Do you have any endorsements/points on your licence?

 Yes

 No

If YES, Please give details:

Have you ever been charged with any motor offences, if so,
please give dates, nature of prosecutions and results of prosecutions:

 Yes

 No

Is any prosecution pending?

 Yes

 No


Remember: Your licence will be checked with the relevent Licensing Authority.
Are you now or have been insured in your own name in respect of any motor vehicle?

 Yes

 No

Name of insurers

Policy Number

Expiry date of policy

Present No Claims Bonus

Have you had any accidents, claims or losses in the past FIVE years in any vehicle driven by you?

 Yes

 No

If YES, Please give details: