Referral Form Title * Full name * Address * Town * Postcode * Daytime phone number * Email address * NI number Driving licence number Service number Regiment How long did you serve? If you're currently employed, what work are you doing? If employed, what is your notice period? Why do you want to be a HGV driver? What type of work will you be looking for once qualified? Please select all that apply: Tramping 4 On 4 Off including weekends Multi-drop during daytime - Class 2 Night shift < > Day Shift < > Staying away during the week What driving licence(s) do you currently hold? Please select all that apply: Car (Cat B) Class 2 (C) Class 1 (C+E) Cat D (Coach) Please tell us about any relevant personal circumstances eg family commitments Do you have your own transport? YesNo In accordance with the General Data Protection Regulation, I agree that Veterans into Logistics may hold and use personal information about me to keep in touch with me for feedback and about future support. This information, including that contained in this form can be stored on both manual and computer files. It will be held securely and only accessed by authorised personnel. YesNo