Driver Registration – JassLuxury Cars

Prefix

First Name *

Middle Name

Last Name *

Email Address *

Phone *

Alternative Phone *

Date of Birth *

Month *

Day *

Year *

National Insurance Number *

Full Address *

City *

Postcode *

Emergency Contact Name

Emergency Contact Phone

Select *

Vehicle Color *

Vehicle Year *

Registration Number *

Vehicle Mileage *

Vehicle Condition *

Driving Licence Number *

Licence Expiry Date *

Select *

Preferred Working Hours *Weekdays daytimeWeekdays eveningsWeekendsNights

Driving Licence Upload *

No file chosen

Hire & Reward Insurance Upload *

No file chosen

PCO/PHV Badge Upload *

No file chosen

MOT Certificate Upload *

No file chosen

PHV Licence Upload *

No file chosen

DBS Certificate Upload *

No file chosen

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Additional Documents

Vehicle V5 / Logbook Upload *

No file chosen

Personal Profile Photo Upload *

No file chosen

Selfie Photo Upload *

No file chosen

Vehicle Photo Upload *

No file chosen

HTML

Please review your information and documents carefully before submitting your application to LAVI RIDE.

I confirm that all information provided is true and accurate to the best of my knowledge.I agree to LAVI RIDE’s Driver Terms & Conditions and Privacy Policy.