Cotswold District Council, Trinity Road, Cirencester, Gloucestershire. GL7 1PX Page 1 of 3
HACKNEY CARRIAGE/PRIVATE HIRE DRIVER
Local Government (Miscellaneous Provisions) Act 1976
Town Police Clauses Act 1847
APPLICATION FOR HACKNEY CARRIAGE/PRIVATE HIRE DRIVER’S LICENCE
Please tick appropriate boxes
PRIVATE HIRE NEW
DUAL (Hackney Carriage & Private Hire) RENEWAL
UPGRADE
(from private hire to dual)
APPLICANT DETAILS
Full Name
Date of birth
National Insurance No.
Badge Ref:
Address
Home Telephone No.
Mobile No.
Email Address
HEALTH
Has a doctor ever advised you not to drive or have you ever had a licence refused or
revoked for medical reasons?
NO
If YES please give details
(including dates)
Do you have any medical conditions that could affect your fitness as a driver?
NO
If YES please give details
PREVIOUS HISTORY
The Rehabilitation of Offenders Act 1974 does NOT apply to taxi and private hire drivers. All matters
pending, driving convictions and previous criminal convictions must be declared.
A licence issued on the basis of answers given hereto may be INSTANTLY REVOKED if it is subsequently discovered
that any relevant information has not been disclosed.
Have you any cautions or convictions for ANY offence in the UK or abroad? Please note
this means all offences, not just motoring endorsements (including fixed penalties). If YES,
please give details
NO
Offence
Date of Conviction
Court
Sentence
HAVE YOU ANY COURT PROCEEDINGS OR ENQUIRIES PENDING?
YES
NO
If YES, please
give full details
Cotswold District Council, Trinity Road, Cirencester, Gloucestershire. GL7 1PX Page 2 of 3
ADDITIONAL INFORMATION
Have you previously held a Hackney Carriage/Private Hire Driver’s Licence?
NO
If YES please give details and Local
Authority including dates
Have you ever had a Hackney Carriage/Private Hire Driver’s Licence refused, suspended
or revoked by Cotswold District Council or any other Authority?
NO
If YES please give details of the
circumstances and the Local
Authority
Have you resided in a country outside of England, Wales and The Republic of Ireland since
the age of 18?
YES
NO
If YES please list all relevant
countries.
A certificate of Good Conduct will be required for each country you have resided in outside of England, Wales and The Republic of Ireland
Right to Work Share Code
Please complete it exactly as it is on the GOV.UK page
DVLA Driving Licence No.
DBS Update Certificate No.
This is the 12 digit certificate number in the top right of your current enhanced DBS certificate
DVLA Licence Check Code
This number is case sensitive so please complete it exactly as it is on the DVLA page
Tax Check Code (Renewals only)
This is the 9 character code for example ‘266 RLR TK6’
If you are not a resident in the
Cotswold District Council’s area,
please explain why you are applying
for a Cotswold District Council
Driver Licence
List the names of the companies you
intend to work for
DECLARATION
CAUTION: YOU ARE WARNED THAT MAKING AN UNTRUE STATEMENT FOR THE
PURPOSES OF OBTAINING A HACKNEY CARRIAGE / PRIVATE HIRE DRIVER’S
LICENCE IS AN OFFENCE.
I declare that my answers to all the questions on this application form and all particulars entered on the form are
true and that I have not withheld any relevant information.
I am entitled to work in the United Kingdom and have the correct immigration status to apply for a licence. I
understand that if there are restrictions on the length of time I may work in the UK, a licence will not be issued for
any longer than this period and in such circumstances the check will be repeated each time I apply to renew or
extend the licence. I also understand that the licence will lapse if I cease to be entitled to work in the UK and I must
return it to the licensing authority as failure to do so is a criminal offence.
I AGREE (please tick boxes otherwise your application will be invalid)
that I have read and understood the Council’s Hackney Carriage and Private Hire Policy
to Cotswold District Council’s Hackney Carriage & Private Hire Policy, Legislation, Guidance and Byelaws
for CDC to check the National Register of Refusals, Revocations and Suspensions (NR3S)
for CDC to undertake 6 monthly DBS checks
Signed:
Dated:
Cotswold District Council, Trinity Road, Cirencester, Gloucestershire. GL7 1PX Page 3 of 3
NOTES
This application will not be considered unless accompanied by the following:-
The fee
Your driving licence
One recent colour passport type photograph of yourself
Evidence that you have passed the Driving Assessment Test/acceptable alternative (new
application only)
Medical Report (if applicable) (must be less than 4 months old at date of application)
DBS Certificate (if applicable) (must be less than 1 month old at date of application)
DBS Update Service (This is the 12 digit certificate number in the top right of your current enhanced DBS
certificate)
DVLA check code (https://www.gov.uk/view-driving-licence)
Right to Work Share Code (https://www.gov.uk/prove-right-to-work)
Tax Check Code (Drivers who have been registered with another Local Authority/Renewals)
(https://www.gov.uk/guidance/changes-for-taxi-private-hire-or-scrap-metal-licence-applications-from-april-
2022)
Safeguarding Training Certificate (Training course must be completed every three years)
A criminal record check (or Certificate of Good Conduct) from all countries outside of
England, Wales and The Republic of Ireland you have resided in since the age of 18
If you have submitted a DBS online application please provide the reference number
______________________________ and tick the box to confirm that the 3 forms of ID that are
required to validate your DBS check have been included with this application.
The Council will not grant a Licence unless it is satisfied that the applicant is a fit and proper person to hold a
Driver’s Licence for a Hackney Carriage/Private Hire Vehicle.
Your right to work in the UK will be checked as part of your licensing application which could include the licensing
authority checking your immigration status with the Home Office. Failure to provide the relevant acceptable
documents (a full list is on the website) to confirm that you have a right to work in the UK will result in the refusal of
a licence.
I understand that I will not be permitted to drive a licensed hackney carriage or private hire vehicle
until such time as I have been granted a hackney carriage/private hire drivers licence. If I am found to
be driving a licensed vehicle prior to receipt of my licence I understand that I will be committing an
offence and if found guilty of this will be liable to prosecution. I also understand that this could result
in the refusal of my licence
Your completed application form, fee and supporting documentation should be returned to:
Licensing Team
Cotswold District Council
Trinity Road
Cirencester
Gloucestershire
GL7 1PX
Data Protection Statement
We will only use your personal information gathered for the specific purposes of your application. We will not give
information about you to anyone else or use information about you for any other purpose, unless the law allows us
to. Further privacy information can be found on our website.
For further information please visit our website www.cotswold.gov.uk