Bike Rider Application Form

About this form

This form is designed to be filled in on screen. You must answer all the questions except those marked 'optional'. You can’t
save the form but once you’ve completed it you’ll be able to print a copy and post it.

Instructions for employers

This Starter Checklist can be used to gather information about your new employee. You can use this information to help fill in
your first Full Payment Submission (FPS) for this employee. You need to keep the information recorded on the Starter
Checklist record for the current and previous three tax years. Do not send this form to HM Revenue and Customs (HMRC).

Instructions for employees

As a new employee your employer needs the information on this form before your first payday to tell HMRC about you and
help them use the correct tax code. Fill in this form then you can print it and send it or give it to your employer.
Do not send this form to HMRC.

POSITION APPLIED FOR *

DATE *

PERSONAL INFORMATION

TITLE *

FORENAME(S) *

SURNAME *

ADDRESS *

CITY *

POST CODE *

TEL NO. HOME *

MOBILE *

EMAIL *

N.I. NUMBER *

DATES OF ANY PRE BOOKED HOLIDAY(IF APPLICABLE)

FROM

NEXT TO CLEAN DETAILS

FULL NAME *

RELATIONSHIP *

CONTACT NUMBER *

TO ENSURE STATUTORY REQUREMENTS RELATION TO YOUNG WORKERS ARE MET, PLEASE TICK RELEVENT BOX

ARE YOU UNDER THE AGE OF 18? *

YESNO

IF YES, PLEASE PROVIDE DATE OF BIRTH

DO YOU CONSIDER YOURSELF TO HAVE A DISABILITY? *

YESNO

IF YES PLEASE TELL US THERE ARE ANY REASONABLE ADJUSTMENTS WE CAN MAKE TO ASSIST YOU IN YOUR APPLICATION OR WITH OUR RECRUITMENT PROCESS

CURRENT UK DRIVING LICENCE *

YESNO

GROUP *

LICENCE NUMBER *

EXPIRY DATE *

“We’re only looking for Delivery Biker/Van driver who holds UK Driving License.”

DETAILS OF ANY ENDORSEMENT(S) AND/OR MOTORING OFFENECE

CBT NUMBER *

EXPIRY DATE *

ARE THERE ANY RESTRICTION ON YOU TAKING UP EMPLOYMENT IN THE UK?

YESNO

IF YES, PROVIDE DETAILS

(ASYLUM & IMMIGRATION ACT) YOU WILL BE REQUIRED TO PRODUCE ORIGINAL DOCUMENTS TO PROVE YOUR ELIGIBILITY AT THE INTERVIEW ASSESSMENT STAGE AND BRING PHOTOCOPIES OF THEM, PLEASE DON'T FORGET BRING ORIGINAL DOCUMNETS WITH YOU, OTHERWISE WE WILL NOT BE ABLE TO PROCESS YOUR APPLICATION ANY FURTHER.

COUNTRY OF ORIGIN *

VISA TYPE *

NATIONALITY *

PASSPORT / ID NO. *

REFERENCE (PLEASE NOTE HERE TWO PERSON FROM WHOM WE MAY OPTAIN BOTH CHARACTER AND WORK EXPERIENCE REFERENCES ONE OF WHICH MUST BE YOUR LAST EMPLOYER)

REFERENCE #1

TITLE

FORENAME(S)

SURNAME

ADDRESS

CITY

POST CODE

TEL NO. HOME

MOBILE

MAY WE APPROCH THE ABOVE PRIOR TO INTERVIEW?

YESNO

REFERENCE #2

TITLE

FORENAME(S)

SURNAME

ADDRESS

CITY

POST CODE

TEL NO. HOME

MOBILE

MAY WE APPROCH THE ABOVE PRIOR TO INTERVIEW?

YESNO

HAVE YOU BEEN CONVICTED OF ANY CRIMINAL OFFENCE WHICH IS NOT SPENT UNDER THE REHABILITATION OF OFFENDERS' ACT 1974?

YESNO

IF YES, PROVIDE DETAILS *

PLEASE NOTE ANY CRIMINAL CONVICTION EXCEPT THOSE 'SPENT' UNDER THE REHABILITATION OF OFFENDERS ACT 1974. IF NONE PLEASE STATE. IN CERTAIN CIRCUMSTANCES EMPLOYMENT IS DEPENDENT UPON OBTAINING A SATISFACTORY DISCLOSURE & BARRING CERTIFICATE FROM THE DISCLOSURE & BARRING SERVICE / DISCLOSURE SCOTLAND.

DECLARATION (PLEASE READ THIS CAREFULLY BEFORE SIGNING THIS APPLICATION)

1. I CONFIRM THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS COMPLETE AND CORRECT AND THTA ANY UNTRUE OR MISLEADING INFORMATION WILL GIVE MY EMPLOYER THE RIGHT TO TERMINATE ANY EMPLOYMENT CONTRACT OFFERED.

2. SHOULD WE REQUIRED FURTHER INFORMTION AND WISH TO CONTACT YOUR DOCTOR WITH A VIEW TO OBTANING A MEDICAL REPORT, THE LAW REQUIRES US TO INFORM YOU OF OUR INTENTION AND OBTAIN YOUR PERMISSION PRIOR TO CONTACTING YOUR DOCTOR.I AGREE THAT THE ORGANISATION RESERVES THE RIGHT TO REQUIRE ME TO UNDERGO A MEDICAL EZAMINATION. IN ADDITION, I AGREE THAT THIS INFORMATION WILL BE RETAINED IN MY PERSINNEL FILE DURING EMPLOYMENT AND FOR UP TO SIX YEARS THERAFTER AND UNDERSTAND TAHT INFORMATION WILL BE PROCESSED IN ACCORDANCE WITH THE DATA PROTECHTION ACT.

3. I AGREE THAT SHOULD I BE SUCCESSFUL IN THIS APPLICATION, I WILL, IF REQUIRES, APPLY TO THE DISCLOSURE & BARRING SERVICE / DISCLOSURE SCOTLAND FOR A DISCLOUSRE & BARRING CERTIFICATE I UNDERSTAND THAT SHOULD I FAIL TO DO , OR SHOULD THE DISCLOSURE NOT BE TO THE SATISFACTION OF THE COMPANY ANY OFFER OF EMPLIYMENT MAY BE WITHDRAWN OR MY EMPLOYMENT TERMINATED.

DATE *

SIGNATURE OF APPLICANT *