Tanker Driver Application Form

Please note: Any field marked with a * must be completed before the form can be submitted.

If at the end you click to submit and you do not see a confirmation message then a field is not completed and will be highlighted with a red frame on the form.

PERSONAL PARTICULARS

Surname *

Forename(s) *

Postal Address *

Email Address

Home Telephone Number

Mobile Telephone Number *

National Insurance Number *

Date of Birth *

Day

Month

Year

Marital Status

No of Children

Height *

Weight *

Do you have the legal right to live and work in the UK? NOTE: If invited for interview you will need to bring original documents (See link for list: https://www.gov.uk/government/publications/right-to-work-checklist) in order for us to copy to prove your right to work. *

Yes

No

HEALTH DETAILS

Are you in good general health? *

Yes

No

Do you meet DVLA medical standards for driving, including hearing and eye sight ? *

Yes

No

Have you now, or ever had, any physical mobility impairment ? (specifically, we are seeking to clarify your capability to undertake the physical requirements of our work, including, for example, the repeated access, ascent and descent of vehicle steps and tank ladders on multiple occasions throughout the working day). *

Yes

No

Have you had medical attention in the last 5 years ? *

Yes

No

Are you required to take regular medication ? *

Yes

No

How much absence from work did you have last year ? *

Are there other health matters an employer should be aware of ? List any DVLA notifiable conditions. See https://www.gov.uk/health-conditions-and-driving for details. *

Are you allergic to penicillin (or any other medication (please list)) *

Yes

No

If yes to any medical question above, then please give details below

LICENCE PARTICULARS (We only operate Class 1/LGV so require this licence)

Driving Licence Number *

Car Driving Licence Valid From *

Day

Month

Year

Car Driving Licence Valid To *

Day

Month

Year

Please confirm your HGV Driving Licence Class is Class 1 *

Yes

No

HGV Driving Licence Valid From *

Day

Month

Year

HGV Driving Licence Valid To *

Day

Month

Year

List & date any endorsements (if none state none)

List any details of pending convictions (if none state none)

List any details of Accidents in the past 3 years (if none state none)

May we have your permission to go online and check the licence details which the DVLA hold for you ? You can do this yourself and give us a current, valid Check Code - visit https://www.gov.uk/view-driving-licence *

Yes

No

If you answered ‘No’, please supply a valid check-code

ADR Licence Valid From *

Day

Month

Year

ADR Licence Valid To *

Day

Month

Year

ADR Classes – Tanks *

ADR Classes – Other Than Tanks

CPC TRAINING

CPC Licence Valid From *

Day

Month

Year

CPC Licence Valid To *

Day

Month

Year

Course Titles

Total CPC Hours toward next renewal gained

Have these CPC Hrs been uploaded?

Yes

No

DRIVING & ADR EXPERIENCE

How many years of LGV1 experience do you have *

How many years of experience have you had in General Haulage

How many years of experience have you had in Container Haulage

How many years of experience have you had in Compartment Tankers

How many years of experience have you had in Chemical Tankers

List any Hazardous Chemicals that you are used to handling :

Note any additional comments and/or details of experience below :

PREVIOUS EMPLOYMENT

Job 1 - Company Name (Most recent)

Job 1 - Contact Name

Job 1 - Contact Title

Job 1 - Is the above contact a referee

Yes

No

Job 1 - Start Date

Day

Month

Year

Job 1 - Job Description

Job 1 - Leave Date

Day

Month

Year

Job 1 - Reason For Leaving

Job 2 - Company Name

Job 2 - Contact Name

Job 2 - Contact Title

Job 2 - Is the above contact a referee

Yes

No

Job 2 - Start Date

Day

Month

Year

Job 2 - Job Description

Job 2 - Leave Date

Day

Month

Year

Job 2 - Reason For Leaving

Job 3 - Company Name

Job 3 - Contact Name

Job 3 - Contact Job Title

Job 3 - Is the above contact a referee

Yes

No

Job 3 - Start Date

Day

Month

Year

Job 3 - Job Description

Job 3 - Leave Date

Day

Month

Year

Job 3 - Reason For Leaving

OTHER DETAILS

Are you a good timekeeper ? *

Yes

No

Are you applying to work night-shift ? *

Yes

No

Are you willing to undertake nights out in a sleeper cab, sometimes at short notice ? *

Yes

No

What amount of nights out per shift pattern would suit you? Please state you preference from the options below *

All new starters normally work on a rolling week shift pattern. Please state your preference from the options below *

List any experience of working shifts, night-out work or unusual work patterns

List any supplementary details that may assist your application : i.e. relevant training / certificates

Are you willing to undertake a DBS check if successful with your application ? *

Yes

No

Tanker Driver Application

Tanker Driver Application for Employment

Contact Details