ࡱ> ~5@ bjbj22 )&XX >>>>>>>R 4RJJJJJJJJ= BOBR4@>JJJJJ>>JJbbbJF>J>JbJb b>>J> O^٤$0t6"tRR>>>>t>(JJbJJJJJRRX RR Application Form Countycars is an equal opportunity employer The position applied for is self employed either full time or part time Male or Female Name Permanent Address Date of Birth Age Place / Country of Birth Male/female Telephone no (where you can be easily reached) Daytime Evening .................... ................... Marital status No of dependants Education details Schools/colleges Qualifications obtained Qualifications obtained outside of general education Present Employment details Company name Address Telephone no Position Held No of years with employer Previous employer details Company name Address Telephone no if known Position held No of years with employer Driving licence details date passed Endorsements /fines include any pending Have you ever been refused vehicle insurance yes/ no If the answer is yes please give details Type of licence held (full,hgv etc) The working hours are variable and include weekend working to fit in with our client needs Are you flexible to meet these needs Yes No ( Please circle ) Do you smoke yes or no if yes how many per day Are you Medically fit i.e suffer from yes/no Suffering or being treated for Angina yes/no A stroke in the past five years yes/no Menieres and other disease causing disabling vertigo within the past 2 years. yes/no Being treated or suffering from psychotic or Schizophrenic illness in the past 2 years yes/no Alcohol dependency or continued misuse or Illicit drug or substance dependency or use In the past three years. yes/no Serious difficulty in communicating by telephone In an emergency. yes/no Any other serious medical condition which may Cause Problems for road safety and Hackney Carrige / Private Hire Vehicle Driving. yes/no If you have answered yes to any of the above please give details. 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