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Personal data
First name:
Surname:
Date of birth:
Street:
House number:
Floor:
City:
Postcode:
Country:
Nationality:
Phone no.:
Mobile no.:
E-mail:
Driving license
Date issued:
Date of expiry:
Driving license number:
Applies to category
A:
B:
C:
D:
E:
BE:
CE:
DE:
Digital card
Yes:
No:
Certificates/lincenses
ADR:
Valid until:
Experience - trucks (number of years)
DAF:
...
0-1
2-5
6-10
11 - +
MAN:
...
0-1
2-5
6-10
11 - +
Volvo:
...
0-1
2-5
6-10
11 - +
Experience of equipment (trailer) (number of years)
Trailer, yrs:
...
0-1
2-5
6-10
11 - +
Keel, yrs:
...
0-1
2-5
6-10
11 - +
Cart, yrs:
...
0-1
2-5
6-10
11 - +
Swap body, yrs:
...
0-1
2-5
6-10
11 - +
International driving experience
In which of the following countries do you have driving experience and how much?
Denmark:
...
Much experience
Little experience
No experience
Sweden:
...
Much experience
Little experience
No experience
Norway:
...
Much experience
Little experience
No experience
Finland:
...
Much experience
Little experience
No experience
Germany:
...
Much experience
Little experience
No experience
Netherlands:
...
Much experience
Little experience
No experience
Belgium:
...
Much experience
Little experience
No experience
France:
...
Much experience
Little experience
No experience
UK:
...
Much experience
Little experience
No experience
Italy:
...
Much experience
Little experience
No experience
Spain:
...
Much experience
Little experience
No experience
Poland:
...
Much experience
Little experience
No experience
Previous employment
Period:
Company:
Period:
Company:
Period:
Company:
Period:
Company:
Languages
How well do you speak and understand English, German and French?
How would you rate yourself in the categories below?
English:
...
01 Cannot speak or understand
02 Understand a few words
03 Understand and speak a few words
04 Understand a simple conversation and speak a few words
05 Understand a simple conversation and speak in short and simple sentences
06 Understand a conversation and speak short and simple sentences
07 Understand a conversation and speak in complete but simple sentences
08 Understand a conversation and speak in complete sentences
09 Understand and speak fluently with an extensive vocabulary
10 Understand and speak excellent
German:
...
01 Cannot speak or understand
02 Understand a few words
03 Understand and speak a few words
04 Understand a simple conversation and speak a few words
05 Understand a simple conversation and speak in short and simple sentences
06 Understand a conversation and speak short and simple sentences
07 Understand a conversation and speak in complete but simple sentences
08 Understand a conversation and speak in complete sentences
09 Understand and speak fluently with an extensive vocabulary
10 Understand and speak excellent
French:
...
01 Cannot speak or understand
02 Understand a few words
03 Understand and speak a few words
04 Understand a simple conversation and speak a few words
05 Understand a simple conversation and speak in short and simple sentences
06 Understand a conversation and speak short and simple sentences
07 Understand a conversation and speak in complete but simple sentences
08 Understand a conversation and speak in complete sentences
09 Understand and speak fluently with an extensive vocabulary
10 Understand and speak excellent
Other languages:
Flexibility with regard to our traffic set-up:
Please tick
I am flexible about frequent
changes of vehicle
Yes:
No:
I am flexible about driving
on different traffics
Yes:
No:
I have experience of
driving at night
Yes:
No:
If possible attach one or more of the following documents
Driver licence:
Digital licence:
ADR licence:
Medical certificate:
Criminal record:
-