Applicant details This authority is under a duty to protect the public funds it administers, and to this end may use the information you have provided on this form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. For further information see www.stoke.gov.uk/fraud. Title Required Please select Mr Mrs Miss Ms First Name Required Last Name Required Postcode Required Postcode Lookup Date of Birth Required Do you have any additional learning requirements that our trainer should be aware of? E.g. visual impairment, hearing impairment, dyslexia, medical issue (list not exhaustive) Mobile Required Email Required Confirm email Required Applicant Type Required Please select Private Hire/Hackney Carriage Driver Passenger Assistant Contract Driver Operator Required What training are you completing Required Please select New Driver Safeguarding, Training and Test Driver Test Resit Safeguarding Renewal Only Please give us your licence number This is your 6 digit badge number