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Company Driver CPC Booking Form
For Remote On-Line Training - 7 hour Sessions or Intensive 5 day Course
*
1.
Driver has a valid UK driving Licence and would require:
(Required.)
An Intensive 5 day/35 hours course
Monday to Friday
One Single Day - 7 hours
Two Single Days - 14 hours
Three Single Days - 21 hours
Four Single Days - 28 hours
Five Single Days - 35 hours
*
2.
I have checked available CPC *training dates using this link:
Driver CPC Online training
(Required.)
Yes
Enquired and have received dates
3.
Only enter preferred *training dates and leave blank if not required.
My 1st Choice of date is:
4.
My 2nd Choice of date is:
5.
My 3rd Choice of date is:
6.
My 4th Choice of date is:
7.
My 5th Choice of date is:
*
8.
Driver requires On-Line Learning for
(Required.)
LGV (HGV) CPC
PCV CPC
LGV and PCV CPC
*
9.
I understand Wallace will send a Zoom Link to confirm the booking and driver will need to login at 7.30am for 8am start and that when they login with their phone, tablet or laptop that they must show their Licence (or CPC Card or Tacho Card) to the Camera, and I confirm they will keep their Camera on throughout training.
(Required.)
Yes
10.
Please upload front & back copies of driving licence and Driver qualification card. ((Or, if you prefer, please send them by WhatsApp - 07976 751 124)
Choose File
No file chosen
*
11.
Tick one of the below options to confirm which I.D. you have uploaded:
(Required.)
I have supplied a photo of the Front and Back of the Driving Licence
I have supplied a photo of the Front and Back of the Driver Qualification Card (CPC card).
I will send to Wallace through WhatsApp - 07976 751 124
*
12.
Please supply either a Share-My-Licence Code or Driver's National Insurance Number:
(Required.)
*
13.
UK Licence number
(Required.)
*
14.
Drivers Name (as it appears on their driving licence)
(Required.)
*
15.
Driver's Mobile No.
(Required.)
*
16.
Driver's Home Address
(Required.)
*
17.
Postcode:
(Required.)
*
18.
Driver's Email Address:
(Required.)
*
19.
Company Details
(Required.)
Name of Person Authorising Booking
Job Title of above
Contact Number of above
Email for the above
Company Full Name and Trading Title
Address
Address 2
City/Town
Post Code
Company Phone Number
20.
Please state your Accounts office address and contact details (for invoice purposes) if different from above
*
21.
Payment
(Required.)
I want to pay by BACS, please send bank details
We have account facilities in place, the PO number for this booking is below
22.
Purchase Order Number
*
23.
I understand and agree bookings are subject to
Wallace Terms
and
Driver CPC information
on Wallace School of Transport website, and bookings made within 14 day or less have no cooling off period.
(Required.)
Yes
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