APPLICATION FOR A PRIVATE HIRE/HACKNEY CARRIAGE OR JOINT DRIVER’S LICENCE

Type of Licence*
- Grant [New]
- Renewal
Renewal details
Licence Number*
Please enter your licence number here
Licence expiry date*
Please type or select expiry date here
DD slash MM slash YYYY

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APPLICANT'S DETAILS
Name*
Title All Fornames Last name
Date of birth*
DD slash MM slash YYYY
Place of birth*
Occupation*
National Insurance Number*
Telephone number
Mobile number
Email*
Current Address*
Street Address Address Line 2 County Postcode

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APPICANTS DETAILS CONTINUED
Have you ever held a Private Hire Driver’s Licence?*
- Yes
- No
Details of previously held Private Hire Driver's Licence
Date of issue*
DD slash MM slash YYYY
Place of issue*
Hackney Carriage Driver's Licence
Have you ever held a Hackney Carriage Driver's Licence?*
- Yes
- No
Details of previously held Hackney Carriage Driver's Licence
Date of issue*
DD slash MM slash YYYY
Place of issue*

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APPICANTS DETAILS CONTINUED
Have you ever been refused a licence to drive a Hackney Carriage or Private Hire Vehicle with this or any other Authority?*
- Yes
- No
Have you ever held such a licence but had it suspended or revoked?*
- Yes
- No
Name and Address of Taxi Operator/Company for whom you will be working for (If applicable)

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CONVICTIONS OR CAUTIONS
ALL 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 below
Date*
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/cautions
- No criminal convictions/cautions
Details of criminal convictions/cautions*
Please click on the plus (+) sign to add more entries
DATE *CRIMINAL CONVICTIONS/CAUTIONS COURT SENTENCE
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/FPNs
- No Motoring convictions/cautions/FPNs
Details of Motoring convictions/cautions/FPNs
Please click on the plus (+) sign to add more entries
DATE *MOTORING CONVICTIONS/CAUTIONS/FPNs COURT SENTENCE

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HMRC TAX Check Code
Do you currently hold, or have you held in the last 12 months before this application, the same type of licence with one or more licensing authority (including this authority)?*
- Yes
- No
Please select one of the options below*
- I have to complete a personal tax check code
- I am a HMRC registered company
Please enter your 9 character Tax Check Code. The Licensing department will carry out a check using this code*
Please enter your Company Number*
‘Schedule 23 to Finance Act 2011 (Data Gathering Powers) and Schedule 36 to Finance Act 2008 (Information and Inspection Powers), grant HMRC powers to obtain relevant information from third parties. This includes licensing bodies being required to provide information about licence applicants.’

If you have not held a licence in the last 12 months with this authority or any other you do not need to complete a tax check however you must go to the following GOV.UK website addresses for HMRC guidance about tax registration obligations:
- PAYE information: www.gov.uk/income-tax/how-you-pay-income-tax
- registering for Self Assessment: www.gov.uk/register-for-self-assessment
- Corporation Tax information: www.gov.uk/corporation-tax
Please note we cannot grant a licence until we have confirmed that you are registered for tax if required to do so.
I confirm that I am aware of the content of HMRC guidance relating to my (our) tax registration obligations.*
- I consent

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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]

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DECLARATION
I DECLARE THAT :-
1. 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.
2. I am in good health and medically fit to drive a Private Hire Vehicle/Hackney Carriage Vehicle.
3. 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.
4. 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 below
Full Name*
Date*
DD slash MM slash YYYY

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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 below
Date*
DD slash MM slash YYYY

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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 9

Renewal details

APPLICANT'S DETAILS

APPICANTS DETAILS CONTINUED

Details of previously held Private Hire Driver's Licence

Hackney Carriage Driver's Licence

Details of previously held Hackney Carriage Driver's Licence

APPICANTS DETAILS CONTINUED

CONVICTIONS OR CAUTIONS

ALL DISCLOSURES ARE TREATED IN STRICT CONFIDENCE

CRIMINAL CONVICTIONS OR CAUTIONS

MOTORING CONVICTIONS/CAUTIONS/FPNs

HMRC TAX Check Code

Please note we cannot grant a licence until we have confirmed that you are registered for tax if required to do so.

LIST OF ITEMS REQUIRED

DECLARATION

National Register of Taxi Licence Refusals and Revocations (NR3)

Training Course Declaration

DATE	*CRIMINAL CONVICTIONS/CAUTIONS	COURT	SENTENCE

DATE	*MOTORING CONVICTIONS/CAUTIONS/FPNs	COURT	SENTENCE