Strata21 - Permanent and Temporary HGV / LGV Driver Recruitment Agency

Driver Registration Form

First Name:*

Surname:*

Address Line 1:*

Address Line 2:

Postcode:*

Home Number:*

Mobile Number:

DOB:*

dd/mm/yy

Do you require accommodation?

Next of Kin:

e.g. mother, uncle etc.

Relation to Driver:

Contact Number 1:

Used incase of emergencies

Contact Number 2:

NI Number:*

Type of LGV/HGV Licence held:*

How long have you held this licence for? *

e.g. 6yrs 4months

Any points on licences? If so please state here:

If any points are held, please confirm offence codes, number of points and the offence dates:

References
Strata21 requires 2 references. Please enter details of the your references below. Please include; Name, Company Name, Address, Telephone Number etc.

References 1:

References 2:

Please tick here to confirm your complete understanding of the current EU Drivers Rules relating to driving and rest periods.

Strata21 operates a collective workforce agreement opting out of the maximum 10 hour working night and monitors working time averages over a rolling 17 week period. Please tick here to confirm your understanding of this.


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	18 Walsworth Road Hitchin Herts SG4 9SP T. +44 (0)1462 485200 F. +44 (0)1462 412670 E. enquiries@strata21.com