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CHARACTER REFERENCE FORM TO SUPPORT
HACKNEY CARRIAGE DRIVER APPLICATION
To Be Completed By Hackney Carriage Vehicle Proprietor Only
Find out how we use your personal information at rochdale.gov.uk/privacy
Applicant Name___________________________
Applicant DOB____________________________
Applicant Address_________________________
Referees HCV No _____________________
Referees Name___________________________
Referees Address_________________________
Referees Telephone________________________
Please provide character reference below:
Signed by Referee_______________________ Date____________________