Goods Vehicle Application Form Internal Use : DAF / PO-01, Status 6 / Schedule A

Transcription

1 Goods Vehicle Application Form Internal Use : DAF / PO-01, Status 6 / Schedule A Thank you for applying for a role within Browns Distribution Services Ltd. Please complete the form and return to one of our Managers for assessment. Name Address Postcode Home Telephone Mobile Telephone Position Applying for Date of Birth Nationality Do you hold a current Driving License? Do you hold a Valid Fork Lift License? Please specify your preferred shift Would you be willing to work a weekend shift? DAYS / NIGHTS Emergency Contact Details Contact Name Relationship to you Contact Number (1) Contact Number (2)

2 Working Preferences and Flexibility Nights Out Weekend Working Night Trunking Day Trunking Local Deliveries Full Loads Groupage and Multi- Drop License and Motoring Offences Have you been convicted of any motoring offenses in the last 5 years? Please list current endorsements Offence Date of Offence Penalty Points Continued on Next Page

3 Prosecutions and Insurance Do you have any Prosecutions Pending? If YES please give further details Have you ever had a conviction for alcohol or drug abuse? If YES please give further details Have you ever had motor vehicle insurance declined, cancelled or refused? If YES please give further details Accident History Please details the last 3 years Date of Accident Who was at fault / What Happened Outcome Additional Qualifications and Experience (Please supply details below) Current Experience to date Types of Vehicles Driven ADR License - Date Passed - / / Categories:,,,,,,,, Other Training Received Do you hold a current GB Digital Tachograph Card

4 Digital Tacho Card Valid From: / / To: / / It is company policy to verify qualifications of all successful job applicants and you may be asked at a later stage in the recruitment process for your consent to checks being completed. Further Supporting Information - Please give any details you feel are relevant in support of your application, including why you are interested in the post. Other General Details What notice period is required in your current job? Is your present post sole regular employment? Have you resided in the British Isles for more than three consecutive years? Do you have the right to work in the UK? Please give details about where you heard of this position you are applying for Continued on Next Page If NO please state details:

5 Disabilities Do you have a disability? If yes please give brief details of the effects of your disability on your day to day activities, and any other information that you feel would help us to accommodate your needs and thus meet our obligations under the Disability Discrimination Act 1995: Convictions Have you ever been convicted of a criminal offence? If so please give details of any unspent convictions. Details: Employment History Who do you currently work for? Job Title Date Started Salary and Benefits Date and Reason for Leaving Continued on Next Page

6 Employment History Previous Posts (Please start with the most recent) Company Name Job Title Date Started Salary and Benefits Date and Reason for Leaving Employment History - Previous Company Name Job Title Date Started Salary and Benefits Date and Reason for Leaving Employment History - Previous Company Name Job Title Date Started Salary and Benefits Date and Reason for Leaving Continued on Next Page

7 Driver CPC Training Please details completed modules Total completed Driver CPC Hours Reference 1 Name Address Telephone Number Occupation Time Known May we contact this person for a reference Reference 2 Name Address Telephone Number Occupation Time Known

8 May we contact this person for a reference Data Protection Information from this application may be processed for purposes registered by the employer under the Data Protection Act Individuals have, on written request (on payment of a fee) the right of access to personal data held about them. I hereby give my consent to Browns Distribution Services ltd processing data supplied in this application form for the purpose of recruitment and selection. Declaration I hereby state that the information I have given in this application is honest and true to the best of my knowledge and understand that any false information may/will result in the instant termination of my employment with the company. I also declare that there are no material facts, which should be disclosed that have not been. I agree to advise Browns Distribution of any changes, in particular any offence committed or changes in circumstances immediately. Your Name Signed Dated It is company policy that all new employees are put on a three month probationary period. To be completed by Browns Distribution Services Ltd Your Name License Checked Dated / /

9 Browns Distribution Pay Grades and Allowances Established in 1955 Browns Distribution Services Ltd continue to push the boundaries of Road Haulage and Pallet Distribution, embracing innovative technology and expert staff to ensure our customers benefit from unparalleled, reliable services and real value for money. Browns Distribution is also a leading depot within the UK's Premium Pallet Networks, Palletline and The Hazchem Network. Due to growth and the win of new contracts we require experienced Class 1, C+E Drivers to join our Distribution Team delivering freight Nationwide. We have various work patters available including day work, nights out and distance work. We anticipate these roles to fill quickly so please do not hesitate to apply. Offering excellent rates of pay and allowances, very stable work patterns and working for a well established family run business who values all members of staff. Job Benefits include: * Night Out Allowance * Parking Allowance * p/w ADR Allowance * Modern Fleet of MAN Vehicles and New Trailers * Dedicated Distribution Team offering Stable work Patterns Class 1 Trunk Driver p/h for first 50 hrs / Overtime at p/h Two Tier Weekly Driver Incentive Bonus Tier p/w :: Tier p/w Class 1 Driver p/h for first 50 hrs / Overtime at p/h Two Tier Weekly Driver Incentive Bonus Tier p/w :: Tier p/w Class 2 Driver p/h for first 50 hrs / Overtime at 9.75 p/h Two Tier Weekly Driver Incentive Bonus Tier p/w :: Tier p/w Non HGV p/h for first 50 hrs / Overtime at 9.50 p/h Two Tier Weekly Driver Incentive Bonus Tier p/w :: Tier p/w