Hackney Carriage Driver Application - Lancaster City Council
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1
2LANCASTER CITY COUNCIL
Town Hall
Dalton Square
LA1 1PJ
Tel [01524] 582033
Email: licensing@lancaster.gov.uk
Website:
APPLICATION FOR A HACKNEY CARRIAGE DRIVER’S LICENCE
(PLEASE COMPLETE IN BLACK INK AND BLOCK CAPITALS)
Which Licence are you applying for [please tick]
Grant [New]
Renewal
Expiry Date
Existing Private Hire Drivers Licence Expiry Date [if applicable]
1
DETAILS OF APPLICANT
a
Mr. Mrs. Miss etc
b
Surname
c
All Forenames
d
Date of birth
Place of Birth
e
Present address
f
Occupation
g
Telephone Number
h
Mobile
I
Email address
j
National Insurance Number
2
HACKNEY CARRIAGE/PRIVATE HIRE DRIVER'S DETAILS
YES
NO
a
Have you ever held a Private Hire Driver’s Licence?
b
Have you ever held a Hackney Carriage Driver's Licence?
c
c.1 If yes - date
c.2 place of issue
d
Have you ever been refused a licence to drive a Hackney Carriage or
Private Hire Vehicle with this or any other Authority?
e
Have you ever held such a licence but had it suspended or revoked?
f
Particulars of employment other than Private Hire or
Hackney Carriage driving?
g
Name and Address of Taxi Operator/Company for
whom you will be working for
[if applicable]
OFFICIAL USE ONLY
Y/N
Y/N
Y/N
Y/N
VRQ
Penalty Points Dec
CRB Form
DVLA over 3 yrs
Qualification
Character Certificate
Medical Certificate
DVLA From
Declaration Certificate
Officers’ initials
Date
Continues over
HCD Form Aug08
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Parent category: Legal