Driver Job Application Form

Apply below to work for Selwyns & National Express as a PSV Driver

Location of Vacancy

Type of work preferred (Please tick one or both)

Name (required)

Email Address (required)

Telephone Number (required)

Date of Birth (For DVLA purposes only) (required)

Driving Licence Verification

Licence Number

Please list licences held and expiry dates

Do you have a Digital Tachograph Card? If yes please answer the below questions.

Tachograph Card Number

Valid From Valid To

Have you ever had any conviction or loss of licence? (DR10) Please give dates and details:

How many points are currently on your licence?

Do you have any physical or mental infirmities, which may impair your ability to drive, and which are notifiable to DVLA? (These include epilepsy, diabetes, heart condition, loss of limb, impairment of vision or hearing (not corrected by glasses or hearing aid)

Employment History (Please give details of your current or most recent company name, positions held, dates of employment, salary & reason for leaving.)