Village Minibus Driver Registration Form
Full Name as Appears on Driving Licence *
Your answer
Email *
Your answer
Address *
Your answer
Phone number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Next of Kin Name *
Your answer
Next of Kin Contact Number *
Your answer
Driving license number *
Your answer
Date Driving Licence Obtained *
MM
/
DD
/
YYYY
Any motoring convictions in last 5 years *
Motoring Convictions (date, points received, offence code)
Your answer
Any Motoring Accidents in last 5 years *
If yes, were you deemed at fault?
Motoring Accident details
Your answer
Reference number having completed the form on this link: https://www.gov.uk/view-driving-licence *
Your answer
I Agree to comply with Minibus Operating Policy: http://btckstorage.blob.core.windows.net/site10264/Membership%20rules.pdf *
Required
I Agree to Inform Tirley Parish Council as soon as any of the above information changes *
Required
I agree that I will not share the Key Box number with any other person, without the express permission of Tirley Parish Council *
Required
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