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THE CERTIFICATE IN INTRODUCTION TO THE ROLE OF THE PROFESSIONAL TAXI AND PRIVATE HIRE DRIVER AT SCQF LEVEL 5
COURSE REGISTRATION FORM
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First Name
Surname
Date of Birth (DD/MM/YYYY)
Address
Phone Number
Email Address
Scottish Candidate Number (if known)
Do you hold a valid driving license?
Yes
No
How long have you held the driving license?
Less than 1 year
1-5 years
More than 5 years
Driving License Number
License Expiry Date (DD/MM/YYYY)
License Issue Date (DD/MM/YYYY)
Do you currently hold a taxi or private hire license?
Yes
No
Which authority issued your taxi/private hire license?
Have you previously received training in wheelchair assistance or safe loading and unloading of wheelchair passengers?
Yes
No
Do you currently hold a certificate or evidence of prior learning in wheelchair assistance or similar, issued by a local authority or relevant body?
Yes
No
If you have a medical condition that might prevent you from completing the wheelchair assistance assessment, do you have a medical certificate or GP's note that exempts you from the assessment under Section 166 of the Equality Act 2010?
Yes
No
medical certificate or GP's note
Do you have any medical conditions or disabilities we should be aware of?
Yes
No
Please Specify
Agreement and Signature
By signing below, you confirm that the information provided above is accurate and complete.
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