APPLICATION FOR A PRIVATE HIRE / HACKNEY CARRIAGE OR JOINT DRIVER’S LICENCE APPLICATION FOR A PRIVATE HIRE/HACKNEY CARRIAGE OR JOINT DRIVER’S LICENCE Step 1 of 8 12% Which Licence are you applying for*(Please select one)Hackney Carriage DriverPrivate Hire DriverJoint DriverType of Licence*Grant [New]RenewalRenewal detailsLicence Number*Please enter your licence number hereLicence expiry date*Please type or select expiry date here Date Format: DD slash MM slash YYYY APPLICANT'S DETAILSName* Title MrMrsMissMs All Fornames Last name Date of birth* Date Format: DD slash MM slash YYYY Place of birth*Occupation*National Insurance Number*Telephone numberMobile numberEmail* Current Address* Street Address Address Line 2 City Postcode APPICANTS DETAILS CONTINUEDHave you ever held a Private Hire Driver’s Licence?*YesNoDetails of previously held Private Hire Driver's LicenceDate of issue* Date Format: DD slash MM slash YYYY Place of issue*Hackney Carriage Driver's LicenceHave you ever held a Hackney Carriage Driver's Licence?*YesNoDetails of previously held Hackney Carriage Driver's LicenceDate of issue* Date Format: DD slash MM slash YYYY Place of issue* APPICANTS DETAILS CONTINUEDHave you ever been refused a licence to drive a Hackney Carriage or Private Hire Vehicle with this or any other Authority?*YesNoHave you ever held such a licence but had it suspended or revoked?*YesNoName and Address of Taxi Operator/Company for whom you will be working for (If applicable) CONVICTIONS OR CAUTIONSALL DISCLOSURES ARE TREATED IN STRICT CONFIDENCE I understand that personal information (including medical information and information about convictions and cautions) provided in this application or during the currency of the Licence to which this application relates, may be disclosed to a public meeting of the Council’s Judicial Committee, and I consent to such disclosure. This authority is under a duty to protect the public funds it administers, and to this end may use the information you have provided on this form for the prevention and detection of crime. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. Signature*If you agree to the above statement then please sign in the box belowDate* Date Format: DD slash MM slash YYYY CRIMINAL CONVICTIONS OR CAUTIONS(* Please note that references to Police Cautions include warnings and reprimands issued under Section 65 of the Crime and Disorder Act 1998, and any offence committed under the Local Government (Miscellaneous Provisions)Act 1976 or the Town Police Clauses Act 1847 e.g. unlawfully plying for hire.Have you any ?*Criminal convictions/cautionsNo criminal convictions/cautionsDetails of criminal convictions/cautions*Please click on the plus (+) sign to add more entriesDATE*CRIMINAL CONVICTIONS/CAUTIONSCOURTSENTENCE MOTORING CONVICTIONS/CAUTIONS/FPNs(* Please note that references to Police Cautions include warnings and reprimands issued under Section 65 of the Crime and Disorder Act 1998, and any offence committed under the Local Government (Miscellaneous Provisions)Act 1976 or the Town Police Clauses Act 1847 e.g. unlawfully plying for hire.Have you any ?*Motoring convictions/cautions/FPNsNo Motoring convictions/cautions/FPNsDetails of Motoring convictions/cautions/FPNsPlease click on the plus (+) sign to add more entriesDATE*MOTORING CONVICTIONS/CAUTIONS/FPNsCOURTSENTENCE LIST OF ITEMS REQUIRED LIST OF ITEMS REQUIRED FOR: NEW APPLICATION LIST OF ITEMS REQUIRED FOR: RENEWAL APPLICATION (1) The application fee (2) Medical report (3) Enhanced DBS Certificate (4) Completed training certificates (5) Proof of Right to work (6) An on-line check will be carried out on your driving licence (1) The licence renewal fee (2) Medical report [if required] (3) An on-line check will be carried out on your driving licence (4) An on-line check will be carried out on your DBS Certificate [if required] DECLARATION I DECLARE THAT :- I have, for at least 1 year prior to the date of this application, been the holder of a full drivers’ licence (not being a provisional licence) under the Road Traffic Act 1972 authorising me to drive a motorcar. I am in good health and medically fit to drive a Private Hire Vehicle/Hackney Carriage Vehicle. I understand that if I knowingly or recklessly make a false statement or omit any material particular in giving the information required for this application, I may be liable to prosecution under Section 57 of the Local Government (Miscellaneous Provisions) Act 1976. I have read, understood and complied with the notes accompanying this application form. Signature*If you agree to the above statement then please sign in the box belowFull Name*Date* Date Format: DD slash MM slash YYYY National Register of Taxi Licence Refusals and Revocations (NR3) The licensing authority provides information to the National Register of Taxi Licence Refusals and Revocations (NR3), a mechanism for licensing authorities to share details of individuals who have a hackney carriage or private hire drivers licence revoked or on application one refuse. This is necessary for the performance of the task carried out in the public interest or in the exercise of official authority vested in the licensing authority - that is, assessing whether an individual is a fit and proper person to hold a hackney carriage or PHV drivers licence. Therefore: Where a hackney carriage, private hire or joint drivers licence is revoked, or on application refused, the authority will automatically record their decision on NR3 All applications for a new licence or a licence renewal will automatically be checked on NR3. If a search of NR3 indicates a match with an applicant, the authority will seek further information about the entry on the register from the authority which recorded it. Any information received as a result of an NR3 search will only be used in respect of the specific licence application and will not be retained beyond the determination of that application. The information recorded on NR3 itself will be limited to: name date of birth address and contact details national insurance number driving licence number decision taken date of decision date the decision is effective Information will be retained on NR3 for a period of 25 years This is a mandatory part of applying for/being granted a hackney carriage, private hire or joint drivers licence. The authority has a published approach it will take to requests by other authorities for further information about entries on NR3, and about the use it will make of any further information provided to it. You can read that policy at www.hyndburnbc.gov.uk/download-package/national-register-of-hackney-carriage-and-private-hire-driver-revoctions-nr3-policy/ Information will be processed in accordance with the Data Protection Act (DPA) and General Data Protection Regulation (GDPR). Any searches, provision or receipt of information of or under NR3 are necessary to the authorities statutory licensing functions of ensuring that all drivers are fit and proper to hold the applicable licence. It is not intended that NR3 data will be transferred out of the United Kingdom. If you wish to raise any issue related to the data protection legislation, including by relying on any of the rights afforded to data subjects under GDPR, you can do so to the authorities Data Protection Officer at foi@hyndburnbc.gov.uk . This includes submitting a subject access request. You always have the right to make a complaint to the Information Commissioner's Office (ICO). Advice on how to raise concern about handling of data can be found on the ICO's website: https://ico.org.uk/make-a-complaint To see more about how we record and store your information please go to: https://www.hyndburnbc.gov.uk/privacy-notice/ Training Course Declaration The information you have provided will be held by the Council on computerised and manual files. The data may also be disclosed to other departments within the Council or other organisations, but only in order to ensure compliance with relevant legislation or to detect and prevent fraud or a crime. I understand I must complete all training courses required by the current Hackney Carriage and Private Hire Licensing Policy before my licence will be granted.*Please sign in the box belowDate* Date Format: DD slash MM slash YYYY
