Company Driver CPC Booking Form

For Remote On-Line Training - 7 hour Sessions or Intensive 5 day Course

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* 1. Driver has a valid UK driving Licence and would require:

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

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* 2. I have checked available CPC *training dates using this link: Driver CPC Online training

Yes

Enquired and have received dates

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* 3. **Only enter preferred *training dates and leave blank if not required.**
My 1st Choice of date is:

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* 4. My 2nd Choice of date is:

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* 5. My 3rd Choice of date is:

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* 6. My 4th Choice of date is:

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* 7. My 5th Choice of date is:

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* 8. Driver requires On-Line Learning for

LGV (HGV) CPC

PCV CPC

LGV and PCV CPC

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* 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.

Yes

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* 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)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 11. Tick one of the below options to confirm which I.D. you have uploaded:

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

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* 12. Please supply either a Share-My-Licence Code or Driver's National Insurance Number:

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* 13. UK Licence number

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* 14. Drivers Name (as it appears on their driving licence)

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* 15. Driver's Mobile No.

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* 16. Driver's Home Address

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* 17. Postcode:

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* 18. Driver's Email Address:

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* 19. Company Details

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

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* 20. Please state your Accounts office address and contact details (for invoice purposes) if different from above

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* 21. Payment

I want to pay by BACS, please send bank details

We have account facilities in place, the PO number for this booking is below

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* 22. Purchase Order Number

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* 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.

Yes

Company Driver CPC Booking Form

For Remote On-Line Training - 7 hour Sessions or Intensive 5 day Course

Question Title

* 1. Driver has a valid UK driving Licence and would require:

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* 2. I have checked available CPC *training dates using this link: Driver CPC Online training

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* 3. Only enter preferred *training dates and leave blank if not required. My 1st Choice of date is:

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* 4. My 2nd Choice of date is:

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* 5. My 3rd Choice of date is:

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* 6. My 4th Choice of date is:

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* 7. My 5th Choice of date is:

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* 8. Driver requires On-Line Learning for

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* 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)

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* 11. Tick one of the below options to confirm which I.D. you have uploaded:

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* 12. Please supply either a Share-My-Licence Code or Driver's National Insurance Number:

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* 13. UK Licence number

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* 14. Drivers Name (as it appears on their driving licence)

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* 15. Driver's Mobile No.

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* 16. Driver's Home Address

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* 17. Postcode:

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* 18. Driver's Email Address:

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* 19. Company Details

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* 20. Please state your Accounts office address and contact details (for invoice purposes) if different from above

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* 21. Payment

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* 22. Purchase Order Number

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* 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.

* 3. **Only enter preferred *training dates and leave blank if not required.**
My 1st Choice of date is: