Driver Registration

Title *

Forename *

Surname*

Address*

County*

City*

Post Code *

Email Address*

Mobile*

Nationality *

In Case of Emergency

Name*

Relation *

Address*

Phone Number*

License Endorsements / Convictions / Suspensions:
Date	Offence	Endorsement Code	Points	Date Spent

Traffic Accidents / Convictions – 5 Year History
Date	Enter Message

References

From	To	Name & Address of Employer	Job Title & Duties / Reasons for leaving
Date	Date		Enter Message*
Phone Number:
Agency Name:

From	To	Name & Address of Employer	Job Title & Duties / Reasons for leaving
Date	Date		Enter Message*
Phone Number:
Agency Name:

From	To	Name & Address of Employer	Job Title & Duties / Reasons for leaving
Date	Date		Enter Message
Phone Number:
Agency Name:

I hereby give permission for references to be taken from previous employers (stated above) prior to any placement being offered.

Print Name*

Signature*

Date*

Health Declaration

To ensure no person in placed in an environment that will result in physical or mental harm, please tick
if you are prone to the following:

If ‘Other’, please give details

If you are taking any treatment or medicine which may impair your ability to carry
out your duties once employed, please give details

Please give detail if to your knowledge you have any physical, mental or other
condition that we should take into consideration when offering work

I declare that all the foregoing statements are true and complete to the best of my knowledge. If any situation changes whilst I am engaged in an assignment by Driver Support Services, I will immediately notify Driver Support Services and if appropriate the Client company where I am working. I further understand that Kirivani Ltd (t/a Driver Support Services), will not discriminate in advertising, selecting, offering training or providing benefits and services. Every vacancy will be open to those who have relevant experience or qualifications specified to perform the required duties.

Print Name*

Signature*

Date*

Basic Procedures

The following basic procedures must be adhered to at all times to prevent any costs being passed to you and any legal action taken against you

It is the driver’s responsibility to ensure all loads are securely strapped; failure to do this will result in any cost being passed onto the driver if there is a shot load.
If there are more pallets than straps on your trailer, then as a driver you must report this immediately to the transport department. If you leave with less straps than pallets which results in a shot load then you (the driver) will be responsible for cost of restack, repack & re- delivery which could incur an extra cost of fuel.
Please ensure you communicate with the transport department at all times, especially after your last drop.
Please ensure you do not come back with an empty trailer unless you have been advised to do so. If you (the driver) comes back with an empty trailer without permission, then the cost of loss of earnings from the client will be passed on to the driver.
All drivers are to check their vehicles before they leave site to start their shift, if any driver fails to check their vehicle prior to the start of the shift then you (the driver) will be responsible as it is the driver’s duty to report any defects and/or any damages to ensure they cover themselves with our clients and/or with VOSA.
Smoking is not allowed at all in any of our clients’ vehicles. Any drivers found smoking will be banned from site and any valet cost will be deducted from the driver.
All accidents must be reported to our clients and the agency immediately. Please ensure you take pictures of any and all damage that may have occurred however major or minor.

By signing this you accept that you have read and understood the above. You also accept that if you (the driver) is at fault for any of the above after acknowledging this then money will be deducted from your wages to cover any claim which falls outside of the Driver’s Negligence Insurance. You also accept that if you (the driver) is at fault for anything falling inside Driver’s Negligence you (the driver) are liable for paying the excess of £750 for claims over this amount. Please ensure the above are adhered to in order to prevent any claim made against Driver Support Services or Kirivani Ltd and to prevent any monies being deducted from you (the driver).

Print Name*

Signature*

Date*

Equal Opportunities Declaration

I understand Kirivani Ltd Trading as Driver Support Services operate an equal opportunities policy, which means it will not discriminate, directly or indirectly, against people on the grounds of their gender, marital status, race, colour, religion and ethnic origin. I further understand that Kirivani Ltd T/A Driver Support Services will not discriminate in advertising, selecting, offering training or providing benefits and services . Every vacancy will be open to those who have relevant experience or qualifications specified to perform the required duties.

I confirm the information given within this application is true and correct and that there is nothing further, about which I am aware, that should be taken into account when offering me work. I understand that should any information prove to be inaccurate, my assignment will be terminated. I hereby authorise Kirivani Ltd T/A Driver Support Services to seek references and I understand the information may be used to assist with my application for work.

I agree the information may be used for registration purposes under the Data Protection Act. I confirm the terms of the Declaration and agree to be bound by them.

Print Name*

Signature*

Date*

Data Protection Declaration:

I declare that the information given within this application is, to the best of my knowledge, true. I have read and understood the terms of engagement for temporary workers and that my registration is subject to satisfactory references or any other checks necessary to support my application. I acknowledge that this information may form the basis of a computerised personnel system to which I will have access as determined by the General Data Protection Act 2018.

I hereby authorise Kirivani Ltd T/A Driver Support Services and present and previous employers to give any information that may be sought concerning this application regarding my work, character or skills for the purpose of referencing. I understand and agree to the passing on of these references, once I have accepted employment, to a future employer.

I further agree to treat as confidential, any information I receive concerning the business of Kirivani Ltd trading as Driver Support Services or its clients and not to disclose such information in any other way than as directed by Driver Support Services in connection with the business of Kirvani Ltd T/A Driver Support Services in accordance with company policy.

Print Name*

Signature*

Date*

Criminal Convictions:

If you have any unspent criminal convictions, please list the offence and their dates below.

The information you give will be treated in confidence and only taken in to account where, in the reasonable opinion of Driver Support Services the offence is relevant to the post for which you are applying. A conviction will become spent after a “rehabilitation period”.

A list of these periods are available online and will depend on the sentence received. Certain types of employment and certain professions are exempted from the Rehabilitation of Offenders Act 1974 and in those cases particularly where the employment is sought in relation to positions involving working with children or vulnerable adults, details of all criminal convictions, both spent and unspent, must be given. A list of the types of employment or professions is available.

Failure to declare a conviction may require us to exclude you from our register and/or terminate an assignment and/or your employment if the offence is not declared but later comes to light.

If no unspent criminal convictions to declare, please sign below to confirm.

DVLA Check Consent

The DVLA have introduced an online service where all licence holders can view their license and categories on-line. As an employer it is our responsibility to ensure that we are fully compliant with the authorities to ensure we are employing the correct drivers who hold the correct categories and entitlements. We carry out quarterly licence reviews to ensure that our drivers are working within the guidelines at all times and by signing this you authorise Kirivani Ltd T/A Driver Support Services to carry out quarterly licence reviews on your licence online with the DVLA.

Sign below to confirm that you give Kirivani Ltd T/A Driver Support Services permission to carry out quarterly licence reviews via the DVLA online service whenever required and deemed necessary by the Company.

Print Name*

Signature*

Date*

Holiday Pay Declaration:

All entitlement to leave must be taken during the course of the leave year in which it accrues and none may be carried forward to the next year. Our leave year is from Jan 1 ^st to Dec 31 ^st. All employees need to request all holiday pay within this period, any holiday requested after the 31 ^st December will be lost and will not be paid as neither Kirivani Ltd T/A Driver Support Services allow holidays to be rolled over to the following year.

Print Name*

Signature*

Date*

Company Pension Scheme

All PAYE employees are entitled to holiday pay. Holiday entitlement is 28 days per year inclusive of bank and public holidays subject to pro-rata, holiday pay is accrued on a daily basis and you must have accrued enough holiday entitlement before you take any leave. Holiday year runs from 1st January to 31st December. Holidays must be claimed during this period, holidays not claimed during this time will result in a loss of holiday pay

If you wish to book holidays, then you must provide a minimum of 1 weeks’ notice. You can request holiday pay by informing the relevant consultant who will inform the accounts department.

If your salary is being processed PAYE, then please be advised of the following; to help people save more for their retirement, the government now requires employers to enrol their workers into a workplace pension scheme. This applies to those who aren’t already in one and who:

earn over £ 10,600 per year (£ 883 per month)
are aged 22 or over; and
are under State Pension Age
We will therefore be required to enrol you into our pension scheme. The scheme is provided by NEST(National Employment Savings Trust) – The Pension Provider. You can choose to opt out of the scheme if you want to, but if you stay in you will have your own pension pot to access when you retire. Both you and the company (Kirivani Ltd) will pay into it every week and the government will also contribute through tax relief. Your pension belongs to you even if you leave us in the future. If
there is anything else you need clarification on, please ask your consultant. Please sign below to acknowledge you have read this information and are making an informed decision regarding your pension based on the information provided.

Print Name*

Signature*

Date*