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JD-KAZ Driver's Information and Referee Form

This document contains forms for a prospective driver to fill out for a ride hailing company. The forms collect personal details about the driver like name, address, license, and previous driving experience. It also has sections for next of kin contact information and previous employment history. The final parts discuss terms and conditions for the driver to agree to like maintaining the vehicle and allowing the company access for repairs. The driver must also provide a reference to verify information by having another individual fill out a referee form with their contact details and relationship to the applicant.

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Tunde Kazeem

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0% found this document useful (0 votes)

832 views3 pages

JD-KAZ Driver's Information and Referee Form

Uploaded by

Tunde Kazeem

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as DOCX, PDF, TXT or read online on Scribd

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JD-KAZ PROFESSIONAL SERVICES

EGBEDA, LAGOS
+ (234)805 700 2629 Fix Recent
DRIVER’S INFORMATION FORM Passport
(TO BE COMPLETED BY PROSPECTIVE DRIVER)

PERSONAL DETAILS:
1. FULL NAME OF PROSPECTIVE
DRIVER ……………………………………………………………………………………………………………………………………………………………..

2. CURRENT
ADDRESS……………………………………………………………………………………………………………………………………………………………..

3. MOBILE NO(S)…………………….………………………………………………..EMAIL.
………………………………………………………………………………..

4. DATE OF BIRTH………………………………………….. DO YOU HAVE VALID DRIVER’S LICENSE (ATTACH COPY)……………

5. SEX OF APPLICANT………………………………………. MARITAL STATUS…………………………………………………........................

6. IF MARRIED, NAME OF SPOUSE(S) ………………………………………………………………………………………………………………….

7. MOBILE NO(S) OF SPOUSE(S)...........................……………………………………………………………………………………………………..

8. ANY PREVIOUS RIDE HAILING (UBER) EXPERIENCE...........................NO. OF YEARS OF EXPERIENCE……………………..

REASON FOR STOPPING……………………………………………………………………………………………………………………………………

NAME & CONTACT OF PREVIOUS CAR OWNER………………………………………………………………………………………………..

9. NATIONALITY OF APPLICANT………………………………………………..IF NIGERIAN, STATE OF ORIGIN………………..

NEXT OF KIN:
1. FULL NAMES………………………………………………………………………………………………………………………………………….

RELATIONSHIP………………………………………………………………………………………………………………………………………

2. ADDRESS…………………………………………………………………………………………………………………………………………………

3. MOBILE NO(S)………………………………………………………………………………………………………………………………………...

EMAIL ……………………………………………………………………………………………………………………………………………………

PREVIOUS EMPLOYMENT DETAILS:

1. EMPLOYER’S
NAME/ADDRESS………………………………………………………................................POSITION……………………………………..

2. LENGTH OF EMPLOYMENT………………COMPANY TEL. NO(S)……………………………….……………………….................

The Driver agrees that each of the Car Owner and Driver Agreement and of Car Owner’s Rules and Regulations constitute a
condition on Driver’s right to possession of the car. Any failure to comply with terms of the Agreement shall constitute a
default hereunder and the Car Owner may terminate Driver’s right to possession and forfeit this possession in any manner
provided by law.
Car Owner may take possession for purpose of making repair, modification, addition therein but without obligation to do
so. Driver shall not add or change any car parts, locking device, electronics etc in the car without the consent to do so.
Driver shall keep the car in a clean and sanitary manner, dispose of all rubbish, garbage and waste in a clean and sanitary
manner and keep the car in a serviceable state.
I DECLARE THAT THE INFORMATION PROVIDED HEREIN IS ACCURATE. I HAVE ALSO READ THE ABOVE TERMS
AND CONDITIONS AND AGREED TO BE BOUND BY THEM.

……………………………………………………………………………………………….. ……………………………………. ……………………

APPLICANT’S NAME SIGNATURE DATE
DRIVER’S REFEREE FORM

Fix Recent
Passport

FULL NAMES OF APPLICANT…...........................................................................................................................................................................................

REFEREE’S PERSONAL INFORMATION:

FULL
NAMES……….………………………………………………………………………………………………………………………………………………………………….

PROFESSION/OCCUPATION…………………………………………………………………………………….POSITION HELD ……………………………

IF IN EMPLOYMENT? NAME & ADDRESS OF CURRENT

EMPLOYER………………………………………………………………….…………………………….............................................................................................

IF SELF-EMPLOYED? NAME & NATURE OF

BUSINESS……………………………………………………………………………………………………………………………………………………………………....

OFFICE
ADDRESS……………………………………………………………………………………………………………………………………………………………………….

RESIDENTIAL
ADDRESS………………………………………………………………………………………………………………………………………………………………………

NATIONALITY………………………………………………IF NIGERIAN, STATE OF ORIGIN ……………………………………………………………..

MOBILENO(S)…………………………………..…………..............................EMAIL………………………………………………………………………………..

I HAVE AGREED TO AND DO SIGN THIS REFEREE FORM ON BEHALF OF ……………………………………………………………………….

RELATIONSHIP…………………………………………………………………………LENGTH OF TIME………………………………………………………

BRIEF ATTESTATION/REMARKS ON THE APPLICANT……………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………………….
By signing this referee form, I state that I am fully aware of the legal implications attached to signing a guarantor’s
form and I hereby agree to abide by those terms. In the event of a default in his/her obligation under the
agreement, I hereby undertake to assume full responsibility for, and discharge fully, all such outstanding
obligations.

NAME………………………………………………………………………………………………………………….…………………………………………………………

SIGNATURE………………………………………………………………………………… DATE………………………………………………………………………..
DRIVER’S REFEREE FORM