OFFICE USE ONLY |
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Amount paid |
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Receipt number |
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Date |
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APPLICATION FOR A HACKNEY CARRIAGE / PRIVATE HIRE / DUAL DRIVER LICENCE
PLEASE READ THE QUESTIONS CAREFULLY BEFORE COMPLETING THE FORM. PLEASE USE BLOCK CAPITALS |
Local Authorities must protect funds they handle and so the information you have provided on this form may be used to detect and prevent fraud. The information may also be shared for the same purposes, with other organisations which handle public funds including the Audit Commission to be used as part of the National Fraud Initiative. Your personal data will also be shared with the local authorities, which make up the Licensing Partnership, for the purpose of processing your licensing application. Your personal data will not be used for any other purpose without your prior consent, except as permitted under the Data Protection Act 1988.
Please state which Licensing Authority you are applying to operate within (please note one application form per authority):
Maidstone Borough Council |
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Sevenoaks District Council |
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Tunbridge Wells Borough Council |
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Please state which type of licence you are applying for (note that only one application per vehicle may be made per form)
Hackney Carriage |
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Private Hire |
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Dual |
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New application |
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Renewal application |
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Expiry date of existing licence |
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PART 1 |
GENERAL (Sole or Principal Applicant to complete in all cases) |
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Surname |
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Forename (s) |
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Any previous or other name |
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Current home address: ___________________________________________ ___________________________________________ ___________________________________________ Post code: ____________________
All previous addresses and dates of occupancy must be provided if you have lived under 5 years at your current address.
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Home telephone number: |
Email address:
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Mobile telephone number: |
Fax number:
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PART 3 |
PREVIOUS CONVICTIONS ( If any) |
State below details of your conviction/cautions (if any) for any offence (including pending Court appearances), whether driving or other offences. If there are none state ‘NONE’. Please note that taxi drivers are not subject to the Rehabilitation of Offenders Act 1974 and you should give details of all convictions, including spent convictions and cautions as well as any pending matters. If you would like to discuss what effect a conviction might have on your application you may telephone the Licensing Officer, in confidence, for advice on: Maidstone – 01622 602255 Sevenoaks – 01732 227004 Tunbridge Wells – 01892 554034 |
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Sentence or Order |
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PART 4 |
GENERAL DECLARATION |
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IMPORTANT I declare that all the answers given above are true. I understand that it is an offence under Section 57(3) of the Local Government (Miscellaneous Provisions) Act 1976 for any person to knowingly or recklessly make a false statement or omit any material particular in giving the required information.
Applicants signature:
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Date: |
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Please enclose/produce the following documents with your application |
OFFICE USE ONLY
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UK Driving Licence (if you have a photo card licence you must produce both parts) |
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Disclosure and Barring Service (DBS) completed check form |
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Licence fee |
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Items/documents to be considered as part of the application
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Medical Certificate |
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DVLA Mandate form |
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DBS Update service – Please provide your DBS Registration ID number |
ID no: |
*Driving Standards Agency test (DSA test) or *Transport Training test – new applicants only (please * delete as applicable) |
□ Date passed:____________ |
Topography / Knowledge test – new applicants only |
□ Date passed:____________ Routes score:______________ Streets score:______________ |
For Tunbridge Wells applicants – new applicants only
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Seminar arranged on:___________________ Seminar attended yes □ no□ |
Please telephone 01732 227004 for the up to date fee for the relevant Licensing Authority or go to the website for the relevant Licensing Authority.
Please return the completed form and fee at least ten working days before the renewal date, to:
The Licensing Partnership,
P.O. Box 182,
Sevenoaks, Kent,
TN13 1GP
(cheques must be made payable to ‘Sevenoaks District Council’)
You may have copies taken of your documentation at:
Maidstone Gateway between the hours of 10:00 – 13:00 hours Monday to Thursday.
Tunbridge Wells Gateway between the hours of 08:30 – 12:30 hours Monday to Friday.
Sevenoaks reception, Argyle Road between the hours of 08:45 – 17:00 hours Monday to Thursday and 08:45 – 16:45 hours on Friday.
Note
New applicants: All new applicants will need to arrange an interview with the relevant Licensing Officer for the authority in which they wish to drive. Please see the telephone numbers above.
Renewals: If, for whatever reason, there is a delay in submitting your application form in good time we may not be able to process your application in time for its renewal. We would recommend that you submit the application at the earliest opportunity
EQUAL OPPORTUNITIES MONITORING
We are asking you to complete this section as part of our equal opportunities monitoring. We wish to ensure we are treating all sections of the population equally, to which of these groups do you consider you belong to (PLEASE TICK ONE BOX)
WHITE British Irish Any other white background (PLEASE WRITE IN) ………………………………………………………… |
BLACK OR BLACK BRITISH Caribbean African Any other black background (PLEASE WRITE IN) ……………………………………………………… |
MIXED White & Black Caribbean White & Black African White & Asian Any other mixed background (PLEASE WRITE IN)…………………………………………………………….. |
ASIAN OR ASIAN BRITISH Indian Pakistani Bangladeshi Any other Asian background (PLEASE WRITE IN)……………………………………………………………. |
Chinese |
Other ethnic group (PLEASE WRITE IN)…………………………………………………………… |
Unwilling to respond |
GRANTED/REFUSED |
Do you consider yourself disabled YES □ NO □ |