Online Registration Want to be considered for future opportunities ? Please complete and submit the form below Already registered? Go to Resources PageGo to Document Upload Candidate Online Registration Pack Name:*FirstLast GenderPlease selectMALEFEMALENON BINARYPREFER NOT TO SAY Address: Street Address Street Address Line 2 Town Postcode AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Mobile: Phone: Email:* Next of kin: Relationship: Next of kin Phone: Date of birth (for licence & insurance purposes only):*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year National Insurance Number:* Own Transport:YesNo Vehicle Registration Number: I hereby give the employment business permission to give out me mobile telephone number to clients that I may work for should they need to contact me (confirm Yes or No)YesNo Have you been convicted of any criminal offence ? (Which is not spent within the terms of the Rehabilitation of Offenders Act 1974.YesNo If Yes, please provide details: Are you receiving and/or claiming any DSS Benefits ?YesNo If Yes, please provide details:(1) Have you worked for an Agency before ?YesNo If yes, which agency ? Where did you hear about us ?Employment HistoryPlease give details of previous employment starting with the most recent ensuring you cover the last 5 years: Name of employer: Dates (from/to): Employed as: Reason for leaving: Name of employer:(1) Dates (from/to):(1) Employed as:(1) Reason for leaving:(1)FillerFiller Name of employer:(2) Dates (from/to):(2) Employed as:(2) Reason for leaving:(2) Name of employer:(3) Dates (from/to):(3) Employed as:(3) Reason for leaving:(3)Medical QuestionnaireIt is important that a complete and correct history is given, and the information can be verified, where necessary, with your doctor.All the following questions must be answered with a YES or NO tickedDo you suffer from any of the following health conditions? 1. If applying for an HGV driving role do you suffer from any condition which you are required to report to the DVLA:YESNO 2. Do you have any visual impairments that are not corrected by glasses/contact lenses:YESNO 3. When did you last have an eye test: 4. Do you have a hearing impairment which is not corrected by a hearing aid:YESNO 5. Are there any other health factors that might affect your ability to undertake the role for which you have applied:YESNOIf you have answered YES to any of the above questions you may be asked to see a doctor or nurse for further assessmentEqual Opportunities & Diversity PolicyThe employment business seeks to offer equal opportunities in recruitment and career development to all work seekers. It registers vacancies and interviews applicants solely on the basis of skills and qualifications. A copy of the policy is available.Data ProtectionThe employment business will collect the personal details, which you provide to us for the purpose of providing you with work-finding services. In providing this service to you we may need to transfer your personal details to our client companies, insurers and/or any other relevant parties. If you do not want information to be disclosed to these companies please tick this box: (by ticking this box you are thereby limiting your availability to clients) I do not want my information disclosed to these companies.We may also from, time to time transfer your details to market research companies who may wish to contact you in order to carry out relevant surveys. Again, if you do not want information to be disclosed to these companies please tick this box: (by ticking this box you are thereby limiting your availability to clients)I do not want my information disclosed to these companiesWorker Declaration Road Transport Regulations ()Please complete and sign for confirmation of your compliance to the road transport (working time) regulations and to provide details of any work undertaken for any other employers.Please note that charitable work and work undertaken as a special constable, retained fire fighter or in the reserve forces will not count towards working time. However, if you are engaged in any of these activities you still need to inform us and should fill out the declaration below as if you were engaged in any other work. We will exclude time spent on such activities from our calculations of your working time.Employee Declaration Previous working time under Road Transport (Working Time) Regulations 2005:*Part A I confirm that to the best of my knowledge and belief, I have worked in accordance with the requirements of the Road Transport (Working Time) Regulations 2005 throughout the current reference period of my current or most recent emplyerOR A2 - I confirm that I have not worked in accordance with the requirements of the Road Transport (Working Time) Regulations 2005 throughout the current reference period of my current or most recent employer Reason: Current work for other employers:*Part B - I am not currently engaged in any work outside my commitments to Recruitment Solutions Alba which would need to be included in calculations of my working time under the Road Transport (Working Time) Regulations 2005. I undertake to inform Recruitment Solutions Alba immediately if this situation should change and provide details as set out below and in weekly timesheets.OR B2 - I confirm that I am currently engaged in work outside my commitments to Recruitment Solutions Alba which will need to be taken into account in calculations of working time under the Road Transport (Working Time) Regulations 2005. I undertake to keep Recruitment Solutions Alba informed if there is any change to these details and to record details of hours worked for all employers in my weekly timesheets.If you have ticked Part A2 or B2, please provide details of any other employers Employer name and address: Type of work: Date started: Hours worked per week:Opt Out of 48 Hour Working Week Agreement1. Definitions i) in this agreement the following definitions apply:Assignment – means the period during which the temporary worker is engaged to render services to the client.Client – means the person, firm or corporate body engaging the services of the temporary worker Working week – means an average of 48 hours each week calculated over a 17 week reference period ii) references to the singular include the plural and references to the masculine including the feminine and vice versa. Iii) the headings contained in these terms are for convenience only and do not affect their interpretation. 2. Restriction i) the working time regulations 1998 provide that the temporary worker shall not work on an assignment with the client in excess of the working week unless he agrees in writing that this limit should not apply. 3. Consent i) the temporary worker hereby agrees that the working week limit shall not apply to the assignments. 4. Withdrawal of consent i) the temporary worker may end this agreement by giving the employment business 2 months notice in writing ii) for the avoidance of doubt, any notice bringing this agreement to an end shall not be construed as termination by the temporary worker of an assignment with a client. iii) upon the expiry of the notice period set out in clause 4.1 the working week limit shall apply with immediate effect. 5. The law i) these terms are governed by the law of the country and the exclusive jurisdiction of the courts of the country in which the employment business has its operational address. Please indicate acceptance:*YESNOApplicants Declaration• I understand that for health & safety reasons it is recommended that protective clothing eg. Safety boots be worn at all times whilst carrying out assignments. • I confirm that I am eligible to work in the UK • I am aware that the employment business is an equal opportunities employer • I have received and understood the terms of engagement for temporary workers issued by this office • I confirm that i will correctly declare my earnings in respect of any benefit claim • I also undertake to inform this office of the number of hours I have driven should I at any time work as a driver on my own behalf or on the behalf of any person, firm or any company or any period(s) of driving that I may do as a result of any introduction by you between the time completing this application and accepting my first assignment • I undertake to inform this office of any future change in circumstances including any driving offences ie: endorsements, which may alter my replies to the above questions • I understand that should I be asked to work for any company at which I have worked within the last 12 weeks i will inform recruitment solutions alba at the earliest possible moment. • I confirm that all the above are true to the best of my knowledge and authorise you to seek the references you require Please tick to confirm declaration:*YESNOQualifications and Experience What type of licence do you hold:* In which country did you pass your test ?AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe Have you ever been convicted of an offence relating to drivers hours/driving records overloading of a vehicle, the roadworthiness of a vehicle within the last 4 years? *YESNO If yes, please give details: Please give details of any accidents during the last 5 years and of any licence endorsements:Operative Skills Please indicate your competence in any of the following areas by ticking the box:PickersPackersGen. WarehouseFurniture PorterPress OpertativeChilledGround WorkerCleanerSecurityAssemblerDespatchFood HandlingScaffolderSlingerCash HandlingDriver's MatePlatform OperativeConfined Space (Cert)ConstructionLabourerPlant OperativeFreezerKey Skills Please indicate your competence in any of the following skills areas by ticking the box:UnionDriver NegTachographMultidropPVCTankerADR-TADR-PArticulatedTiltContainerRope/SheetDemountsDrawbarRefrigerationRoll on/offSkipDrayMixersTippersPlant (Cert)HIAB (Cert)Moffett (Cert)BlowerLivestockSteelTimberCompassSweepersChauffeurTauliner/CurtainParcel DeliveryRemovalShuntingKinetic (Cert)Tail LiftCar TransportersLow LoaderForklift-RForklift-C/BAVSEC4ChainsHopperRachetsMinibus (approved)Left Hand DriveTachograph (Digital)IPAF (Cert)EPIC CardFuel EfficiencyHome Delivery Other areas not listed in the skills key: Commercial vehicles you have driven (make): Gearbox by experience (type): Multi Drop (Please tick):1-1010-2020-3030-4040 Area Knowledge (Local/Regional): Work Preferences (ie: Preferred start time): Availability for work:DaysNights/WeekendsShiftsNights OutPart Time Do you possess any of the following PPE ?Safety BootsHigh Vis JacketGlovesHard HatSafety GogglesWaterproofsApplicants Declaration - please read and tick the following declarations i) I have completed more than 6 months relevant work experience in the last 12 months:*YESNO ii) I am over the age of 23:*YESNO iii) I hold a full driving licence clear of endorsements other than SP, TS, CU30 or CU80 and/or parking offences totalling a maximum of 6 points:*YESNO iv) I acknowledge that it is my responsibility to ensure that the vehicle operator/client issues sufficient tachograph charts to me, and that Ii shall ensure that these are returned to the operator/client within 42 days of the date of completion:*YESNOReferencesPlease provide at least 2 references with telephone numbers: References Name:(1) Position:(1) Company:(1) Address:(1) Telephone:(1)Reference 2 References Name:(2) Position:(2) Company:(2) Address:(2) Telephone:(2)Reference 3 References Name:(3) Position:(3) Company:(3) Address:(3) Telephone:(3)Bank/Building Society Details Payment by:ChequeBuilding SocietyBank Bank/Building Society: Account Name(s): Account Number: Sort Code:FinesWe understand the difficulties associated with driving delivery vehicles, especially in heavily congested cities. However, many of these problems can be avoided through prior planning and good communications with ourselves and the client for whom you are working. Below is an overview of your responsibilities in relation to the various traffic and vehicle restrictions and fines which you may encounter during your working day. Once you have read these, please sign below and return to Recruitment Solutions Alba.ParkingIf you are making a delivery and finding it a struggle to park anywhere other than in a restricted area, you must contact the client and gain their consent to pay any fines which you may incur through such actions. In any event, endorsable offences – such as parking on zig-zig markings on the approach to a pedestrian crossing – will always be your responsibility.Moving Traffic OffencesOffences such as excessive speed and failure to stop at traffic lights will legally require that we pass your details to the relevant authorities if a notice of intended prosecution (nip) is issued. Recruitment Solutions Alba does not condone such behaviour; no delivery is worth risking your licence and ultimately your career for.Congestion ChargeIf you have not been briefed that it is acceptable to do so, do not take your vehicle into the congestion charge zone without first consulting with the client or ourselves to obtain permission and enable the client to pay the charge, if you choose to ignore this any resulting fines will be your responsibility.Other RestrictionsThere are a number of other schemes and restrictions of which you should be aware; these include bus lanes, London borough transport scheme, red routes and time/weight restrictions. Failure to adhere to the requirements of these schemes and restrictions may result in the operator having to pay a fine. If these charges are passed onto Recruitment Solutions Alba we reserve the right to pass these charges onto you. If you are uncertain of what to do in any given situation please contact either the client or ourselves and we will advise you on the best course of action.Acknowledgement FormBy signing this form, you are confirming that you have received, read and understood the fines and vehicle and property damage document, and hereby give consent for Recruitment Solutions Alba to recover fines and costs incurred by you, by means which may include making weekly deductions from your salary.You should return the signed form to Recruitment Solutions Alba, you may wish to keep a copy for your records. Please confirm that you have read, understood and accept the above:*YESNO Please enter your email as confirmation:*SubmitReset