Last Updated 31/10/2018
APPLICATION FOR A HACKNEY CARRIAGE
AND PRIVATE HIRE DRIVER’S LICENCE
All questions must be answered unless specified
ONE YEAR LICENCE / THREE YEAR LICENCEBLOCK CAPITALS PLEASE / 1. Date of Birth
2. Nationality
FULL NAME / 3. Are you permitted to work in the U.K? / YES / NO
4. National Insurance Number
5. Details of current DVLA Driving Licence
MAIN RESIDENTIAL ADDRESS
POSTCODE
Driver Number
Groups
Details of any Endorsements
Please tick as applicable:
GRANT [ ] RENEWAL [ ] / 6. How long have you held a full Driving Licence?
7. Give name and address of person or company for whom you drive or intend to drive a licensed vehicle
PLEASE NOTE: Failure to state all convictions/cautions/warnings/penalty notices may result in you having to attend a committee hearing where an explanation will be required.
COMPLETE QUESTIONS 8a OR 8b and 8c – Use additional sheet if required
NEW APPLICANTS ONLY
8a. Following the introduction of Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 2002, you are now required to discloseALLPREVIOUS CONVICTIONS, CAUTIONS FIXED PENALTY NOTICES, WARNINGS AND/OR OTHER PENALTY NOTICES REGARDLESS OF WHETHER THEY ARE DEEMED SPENT OR NOT AND REGARDLESS OF THE AGE OF THE CONVICTION.
By writing NONE I confirm that I have no convictions/cautions/warnings/ fixed penalty notices to declare. / Please ensure you have read the notes in the attached box before answering. Enter any convictions here.
RENEWAL APPLICANTS ONLY
8b. Have you been cautioned/convicted of any motoring offence, any offence involving dishonesty, indecency, violence, drink or drugs, received any Fixed Penalty notices or any type of penalty notice since your last application?
By writing NONE I confirm that I have no convictions/cautions/warnings/ fixed penalty notices to declare. / Please ensure you have read the notes in the attached box before answering. Enter any convictions here.
8c.Has there been any change in your medical condition since your last application? / NoYes If yes, please provide details
DETAILS
ALL APPLICANTS - ANSWER YES OR NO
9. Are there any Court proceedings pending against you? / No YesIf yes, please provide detailsDETAILS
10. Have you previously held a Hackney Carriage and Private Hire Driver’s Licence issued by thisauthority? / No Yes If yes, please provide details
DETAILS
11. Have you previously held or do you currently hold a Hackney Carriage and Private Hire Driver’s Licence issued by any other authority? / No Yes If yes, please provide details
DETAILS
12. Has any Hackney Carriage and Private Hire Driver’s Licence held ever been suspended or revoked by this or any other authority? / No YesIf yes, please provide details
DETAILS
Application Fee / £
I submit an application fee for the sum of £ and note that if the application is refused the fee is non refundable.
I will / have read the conditions of the licences issued by the Vale of Glamorgan Council which are applicable to Hackney Carriage / Private Hire Vehicle Driver’s Licences and in the event of the licences being granted / renewed to me, I agree to comply with the said conditions.
I declare to the best of my knowledge and belief that I have disclosed all previous Convictions, Cautions Fixed Penalty Notices, Warnings and/or any other Penalty Notices, regardless of whether they are deemed spent and regardless of the age of the conviction. OR If a renewal applicant any disclosures since my last application.
I declare to the best of my knowledge and belief the above information is correct. I understand that if I knowingly or recklessly make a false statement or omission I render myself liable to prosecution and my licence may be suspended or revoked.
I understand that in pursuance of the prevention or detection of crime, personal information may be released to Government Agencies such as the Benefits Agency, Inland Revenue and UK Border Agency.
I confirm that the above declaration has been read out to me by an Officer of the Council.
Signed ------
Disclosure and Barring Service Declaration
If a Disclosure and Barring Service check is required on this application, I agree to allow the Vale of Glamorgan Council’s Licensing Section to retain a copy of my Disclosure and Barring Service Certificate in my Hackney Carriage/Private Hire Driver’s file.
I understand that if I fail to provide the Vale of Glamorgan Council’s Licensing Section with a Disclosure and Barring Service Certificate within six weeks of the date of this application my Hackney Carriage/ Private Hire Driver’s Licences may be revoked with immediate effect.
Signed………………………………….
N.B. The driver’s badge is the property of the Council and shall be returned on the expiry, suspension or revocation of the licence.
Signature / Print NameTel No. / Mobile No.
Email Address / Date
(1)All applicants for driver’s licences are required to submit a Disclosure Barring Service (DBS) check in respect of their first application and every three years thereafter.
(2)Produce a medical certificate (required if applying for the first time or if renewing your licence after your 45th, 50th, 55th, 60thor 65thbirthday, then annually after age 65) signed by your own registered general practitioner to the effect that you are physically fit to be a driver of a Hackney Carriage or Private Hire vehicle.
(3)Produce your driving licence for inspection. NO TAXI DRIVER LICENCE CAN BE GRANTED UNLESS A DVLA DRIVING LICENCE OR PROOF THAT YOU HOLD A CURRENT LICENCE FROM THE DVLA IS PRODUCED.
Copies of driving licence and any other associated documents will be required.
(4)Any queries please contact the Licensing Section on (01446) 709105 or alternatively email
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