ROCHDALE
BOROUGH
COUNCIL
Rev. 23/03/2020
NEIGHBOURHOODS
Mark Widdup
Director of Neighbourhoods
PUBLIC PROTECTION SERVICE
Floor 3, Number One Riverside,
Smith Street, Rochdale, OL16 1XU
Tel: (01706) 924114
Fax: 0844 332 0324
Email:lic.applications@rochdale.gov.uk
Web site: www.rochdale.gov.uk
RENEWAL: PRIVATE HIRE DRIVER
Privacy Notice (how we use your information);
Rochdale Borough Council, as the Licensing Authority, collects and records the personal data that you
provide in this form, along with any supporting documentation, in order to process your licence
application to regulate private hire and hackney carriage licensing activities within the Borough.
Appropriate measures are in place to protect your personal data. We provide information to the National
Register of Taxi Licence Refusals and Revocations (NR3), which involves sharing details of individuals
who have had a licence revoked, or an application for one refused. All applications for a new licence or
licence renewal will automatically be checked on NR3. We may share your information with other Council
Services and organisations that can support our work. The full Privacy Notice provides information about
your rights under current data protection legislation and details what will happen to your personal data,
can be found on the Council’s website at www.rochdale.gov.uk/privacy
Notes for guidance:
If you have been previously licensed with this authority please inform the Admin staff. They will
check your previous file and advise you.
If you have incurred any driving convictions or have been convicted of any offence since your last
Statutory declaration, please inform the Admin staff.
Have you had any illnesses or injuries since your last medical that may affect your driving
ability? If yes, inform the Admin staff.
Rev. 23/03/2020
TO APPLY FOR AN ANNUAL RENEWAL YOU WILL NEED TO:
1. Complete the application form attached to this sheet.
2. Bring your Photocard/Paper Licence (issued pre 1998) & DVLA Information PRINTED OUT within 7
days
3. Pay the fee of £74.00
4. Produce National Insurance Number
5. Existing drivers sign up to the DBS Update Service upon their next DBS renewal, within the relevant
DBS timescales, evidence of being signed up must be provided. If the DBS is not due, the driver can
voluntarily take out the Update Service if you wish to do this please ask the administration staff for
further information
TO APPLY FOR A 3 YEAR RENEWAL YOU WILL NEED TO:
All of the above for the annual renewal numbers 1 to 4 apply and;
The driver will require a new DBS check (regardless of whether their current DBS is due or not) and
evidence of being signed up to the Update Service must be provided
Please note: Original documents MUST be produced with every application
submitted.
Rev. 23/03/2020
Private Hire Drivers Renewal
1.
Full Name (Mr Ms Mrs Miss)
2.
Date of birth Tel No
Email Address
3.
Address
4.
Current Private Hire Badge Number
5.
Present Employer or Operator
6.
Do you drive Private Hire vehicles FULL or PART TIME?
7.
Have you had any licence suspended / revoked / refused by any Authority?
YES / NO if yes please supply details overleaf.
8.
National Insurance Number
DECLARATION
I declare that the information I have given on this form is true, and to the best of my knowledge
correct
APPLICANTS SHOULD NOTE THAT TO MAKE A FALSE DECLARATION IS A SERIOUS
CRIMINAL OFFENCE.
I will read and comply with the Bylaws and any Conditions attached to the grant of the
licence.
I will take enough rest and refreshments whilst driving Private Hire vehicles, I know that any
incident involving fatigue reported to the Council will mean I may have to attend a
Panel/Committee Meeting and could result in my licence being SUSPENDED OR REVOKED.
I have not incurred any injury or illness since my last medical, which will affect my driving
ability.
I have read the Privacy Notice and accept its contents
Signed: Date:
Warning: Your attention is drawn to the dangers caused by fatigue due to driving LONG,
UNBROKEN HOURS, particularly when heavy goods and other similar vehicles are
involved
OFFICE USE ONLY
Receiving Officer
Receipt No. / Fee
£74.00
Debit/Credit YES/NO
Rev. 23/03/2020
Details of application/licenses that have been
Suspended/Revoked/Refused
(Please delete where applicable)
Name:
Address:
Date of Birth:
Date
Authority
Details
DECLARATION:
I declare that the information I have given on this form is true, and to the best
of my knowledge correct.
I declare that I am legally allowed to reside and work in the UK
Signed: Date:
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