07966 661196

Round Table
Minibus

Round Table Minibus DVLA Registration Form
CONFIDENTIAL

All information given on this form will be treated in accordance with the 1998 UK data protection act and will only be used for the service stated above. Your personal details will not be made available outside our organisation unless we are obliged, by law, to do so.

Personal Details:

You need to obtain a DVLA check code so we can validate you as a driver, please visit https://www.gov.uk/view-driving-licence to obtain the code and complete this field.

Driving Details:

If you answer ‘YES’ to any of the following questions please give details in the space provided.

Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Declaration:

I declare that the details given are correct and that, to my knowledge, there are no other relevant facts I need to disclose. I agree to exercise all due care for the safety of my passengers and security of the vehicle whilst it is in my charge. I also undertake to inform of any collision or accident that occurs whilst I am responsible for the vehicle. I understand that it is an offence under the Road Traffic Act 1988 to knowingly make a false statement to obtain insurance cover.

I undertake to advise of any subsequent illness, condition or event that might affect my suitability as a driver, including any subsequent refusal of motor insurance or any driving convictions. I understand that failure to do so, and any false declaration made above, may render insurance cover for the vehicle invalid and that I may be held personally responsible to pay costs or damages.

I agree to the Driver Requirements above. I declare that to the best of my knowledge the statements and answers overleaf are true and complete.