Gold Driver Registration

If you have been invited to join the Aligra Gold Driver Programme, please fill out the following registration form.

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Personal Information

Name*

First

Last

Telephone Number*

Email address*

Date Of Birth*

Nationality*

National Insurance Number*

e.g. House number/name*

Street name*

Town/City*

Postcode*

Emergency contact name*

Emergency contact telephone number*

Relationship to you*

Bank account details

If you do not have your own bank account and wish to use someone else's, or if you do not have a valid UK bank account, please select this option. A member of staff will discuss this with you further.

Name as it appears on your account*

Sort Code*

Bank name*

Account Number*

Employment History

Aligra require a minimum of two years employment history, or an understanding of any gaps in your employment during this period.

Current / Previous Employer*

Telephone number*

Are you still employed here?

Yes

Job title*

Date from*

Date to

Address

Town

Postcode

Salary*

Reason for leaving*

Reference contact name*

Telephone number (direct)*

You are required to provide references for the last 2 years of employment, do you need to add another reference?

Yes

Current / Previous Employer*

Telephone number*

Job title*

Date from*

Date to*

Address

Town

Postcode

Salary*

Reason for leaving*

Reference contact name*

Telephone number (direct)*

Would you need to add another reference?

Yes

Current / Previous Employer*

Telephone number*

Job title*

Date from*

Date to*

Address

Town

Postcode

Salary*

Reason for leaving*

Reference contact name*

Telephone number (direct)*

Would you need to add another reference?

Yes

Current / Previous Employer*

Telephone number*

Job title*

Date from*

Date to*

Address

Town

Postcode

Salary*

Reason for leaving*

Reference contact name*

Telephone number (direct)*

Would you need to add another reference?

Yes

Current / Previous Employer*

Telephone number*

Job title*

Date from*

Date to*

Address

Town

Postcode

Salary*

Reason for leaving*

Reference contact name*

Telephone number (direct)*

If you have any gaps in work history within the last two years that lasted for more than 6 weeks, please explain why this was.

If you are currently employed, what notice are you required to give your employer?

Would you like to upload your CV to provide additional information?

In accordance with the Data Protection Act 1998 and with the General Data Protection Regulation 2018. By proceeding with this application and clicking next I give consent and authorise Aligra to contact the persons or organisations mentioned within my application for the purposes of obtaining current and previous employment reference information.

Criminal Record Disclosure & Additional Information

We are asking you to complete this section in relation to job roles which are not exempt from the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020). For this reason you are only required to disclose information about unspent convictions. You are not required to disclose spent convictions on this form.

Additionally, you are not required to declare any information about ‘protected’ offences – (offences to which the filtering rules apply). If you are unsure as to whether a conviction is unspent/spent or protected (filtered) please contact organisations such as NACRO or Unlock for further information.

If you wish to be put forward for/if any role is identified which may be suitable for you but which is exempt from the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020), meaning that you are required to disclose spent convictions, we will ask you to complete an additional criminal disclosure form. You are not required to complete that additional form if you do not wish to be put forward for that type of work.

Do you have any unspent criminal convictions? *

Yes

If you have answered 'Yes', there are two ways of providing further details. You can either provide the offence dates, dates of conviction/caution, offence types and sentences below.

Alternatively, you can provide further details (as above) on a separate document by ticking the option below, please provide this information in a sealed envelope to your local Aligra branch. Please mark the envelope as 'confidential'.

Are you prepared to undergo a drug and/or alcohol test should it be requested?*

Yes

Declarations

I have read and understand the Aligra Gold Driver Agreement*

I agree to the working week limit not applying whilst on assignments with Aligra, as per the Working Time Regulations 1998 – Opt Out Agreement'

1.RESTRICTION
The Working Time Regulations 1998 (as amended) provide that the Employee shall not work on an Assignment with the Client in excess of the Working Week unless s/he agrees in writing that this limit should not apply.
2.CONSENT
The Employee hereby agrees that the Working Week limit shall not apply to the Assignment.
3.WITHDRAWAL OF CONSENT
3.1 The Employee may end this Agreement by giving the Company 3 week’s notice in writing.
3.2 For the avoidance of doubt, any notice bringing this Agreement to an end shall not be construed as termination by the Employee of an Assignment with a Client.
3.3 Upon the expiry of the notice period set out in clause 4.1 the Working Week limit shall apply with immediate effect.
4.THE LAW
This Agreement is governed by the law of England & Wales and is subject to the exclusive jurisdiction of the Courts of England & Wales

I have read the ‘Good handling techniques for lifting’ document and am happy to sign the ‘Manual Handling Declaration’*

I give consent for Aligra to process my personal data in compliance with the Data Protection Act 1998 and the General Data Protection Regulation 2018, in relation to work finding including contacting the referees I have provided within this registration process*

Health and Disability Declaration*

Do you have any health issues or a disability relevant to the role which may make it difficult for you to carry out functions which are essential for the role you seek?

Yes

If you answered yes, please specify

If you have a disability, what are your needs in terms of reasonable adjustments in order to access this recruitment service?

For tax purposes, which of the following statements applies to you? (A, B or C)*

(A) This is my first job since 6 April and I have not been receiving taxable Jobseeker's allowance, Employment and Support Alliance, taxable Incapacity Benefit, State or Occupational Pension

(B) This is now my only job but since last 6 April I have had another job, or received taxable Jobseeker's Allowance, Employment and Support Allowance or taxable Incapacity Benefit. I do not receive a State or Occupational Pension

If you are going to be absent from work for any reason, you must provide a minimum of 4 hours’ notice for a nightshift and 1 hours’ notice for a dayshift (before your shift start time). You can do this by phoning our 24-hour number:

0330 128 9931

This will ensure that we can inform our client of your absence and they can plan accordingly. We do not accept text, WhatsApp messages or calls to mobiles – these will not get through to us outside of office hours (08:00 – 17:30). Failure to follow this process may result in early termination of your assignment. We are also available on the above numbers for any EMERGENCIES that cannot wait until our branches are open (08:00-17:30). Do you agree to follow the above process when undertaking assignments for Aligra?*

Yes

This field should be left blank

Need to get in contact?

If you have any queries, or would like to talk through how we can make a difference to your business or career, we’d love to hear from you.

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Gold Driver Registration

Personal Information

Identification

Bank account details

Employment History

Criminal Record Disclosure & Additional Information

Driver Section

Declarations

Need to get in contact?