DRIVING LICENCE INFORMATION
Please give details of any convictions, unless they are regarded as ‘spent’ as defined by the rehabilitation of
offenders Act 1974. Please include the date, place and offence as well as the sentence order.
Please put ‘not applicable’ in the box if this section doesn’t apply to you.
You will be required to provide original documents
Please complete details covering the last ten years of employment starting with the most current or last employer including the Bus/Transport Industry. Please explain any periods of unemployed or gaps in employment if applicable.
Please provide full details of two referees, they should be your most current or last employer(s).
- • To provide the best possible service to our Customers
- • To provide our staff with secure, rewarding employment
- • To be successful, profitable company with a long term future
Please use the space below to explain how our aims, your skills and attributes match those on the job description.
Include any further information to support your application for employment with our Company.
Whilst we will try to ensure that we accommodate any dates already confirmed, they are also subjective to Local Management authorisation.
I hereby give my consent and authorise James Lewis to contact the person or organisations
mentioned in my application for the purposes of obtaining employment and personal reference
UK DOMESTIC DRIVING RULES – EMPLOYEE DECLARATION
Our drivers are required to comply with the UK Domestic Driving Rules as set out in the Transport Act
1968. These rules stipulate a maximum daily driving limit of 10 hours and a maximum daily duty time
of 11 hours. They also stipulate that you must take adequate rest between periods of paid work. In
order for us to ensure that you and James Lewis operate legally within these rules we need to know if you undertake any paid work outside of James Lewis. It is your responsibility to
declare, in full, all paid work and to notify James Lewis should there be any changes to your
paid work commitments in the future. Failure to do so may result in your dismissal.
Failure to comply with the UK Domestic Driving Rules could lead to you being prosecuted and fined.
The UK Domestic Driving Rules stipulate maximum driving and duty times for our drivers. In order for
us to help ensure that you and you and James Lewis operate legally within these rules, please
complete and sign the declaration below that is applicable to you.
I hereby declare that I AM NOT currently engaged in any paid work outside of my commitments to
James Lewis. I understand that it is my responsibility to inform James Lewis immediately if this situation should change at any point during my employment.
I hereby declare that I AM currently engaged in other paid work outside of my commitments to James Lewis. I understand that it is my responsibility to keep James Lewis informed in writing, of the hours worked elsewhere should these change from those listed below.
Employer name, Type of work, Start date, and Hours worked per week
48 HOURS OPT-OUT AGREEMENT
1. Definition. 1.1 In this opt out agreement the definitions and clause 1.2 used in the terms apply in
"Working week" means an average of 48 hours each week calculated over 17 weeks reference period.
2. Restrictions. 2.1 The Working Time Regulations 1998 provide that the Temporary Worker shall not
work on assignment with the client in excess of the working week unless he/she agrees in writing that
this limit should apply. 3. Consent. 3.1 The Temporary Worker hereby agrees that the working week
limit shall not apply to the assignment. 4. Withdrawal of consent 4.1 The Temporary Worker may end
this agreement by giving the employment business 7 days notice in writing. 4.2 For the avoidance of
doubt any notice bringing this agreement to an end shall not be constructed as termination by the
Temporary Worker of an assignment with the client. 4.3 Upon the expiry of the notice period set out
in clause 4.1 the Working Week Limit shall apply with immediate effect. 5. Law 5.2 These terms are
governed by the Law of England & Wales and are subject to the exclusive jurisdiction of the Court of
England & Wales.
Have you ever suffered from...
- I give consent for James Lewis to share my personal information with 3rd Parties and for
James Lewis to hold my information on file and process it including sharing it with the
Department of Work and Pensions.
- I give consent to being contacted by James Lewis via email, SMS and direct mail, to provide
updates, open vacancies and other relevant marketing material.
The data and information provided will be passed on to 3rd parties for payroll and /or clients for
insurance purposes. All information you share with James Lewis will be treated in strict
confidence and will be dealt with in line with the Data Protection Act 1998 and General Data
Protection Regulation (EU) 2016/679.
DECLARATIONI declare that the information given in this application is to the best of my knowledge, true, accurate and complete.
I declare that I have the right to reside and work in the U.K.
I will inform James Lewis of any cautions, warnings, reprimands, convictions and
prosecutions subsequent to this application and any information provided at interview.
I shall inform James Lewis immediately upon factors/circumstances affecting my availability,
right and/or ability to work.
I understand that any misrepresentation of the facts and documents provided in support is ground
for refusal of employment and/or disciplinary (and possibly criminal) proceedings.
I agree that James Lewis can create and maintain computer and paper records of my
personal data and that this will be processed and stored in accordance with the Data Protection
I understand that any offer of employment is subject to satisfactory screening results and if I am
unable to satisfy and of the screening process my employment will be terminated.
I acknowledge that no contractual relations will exist until such times as I have accepted in writing
the terms of a letter of appointment and/or form of contract.
I understand as from 19th January 2009 James Lewis had employed the use of random drug and alcohol testing in order to ensure compliance and provision of operator requirements in the supply of all staff. In light of the same, I hereby authorise James Lewis to carry out any drug
and alcohol testing as and when required.