New Driver On-boarding form

Dear Driver, Welcome to Carrot Cars. If you could please fill in this form, and put all requested documents into the sleeve on the table, someone will be with you shortly.
Your Carrot Cars Driver Number*
Please ask a member of the team, what is your CC driver number!
Name*
First Middle Last
National Insurance Number (NIN)*
Mobile Phone Number*
Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City ZIP / Postal Code
Date Of Birth*
DD/MM/YYYY

Congestion Charge
Is your vehicle exempt form London Congestion Charge?*
This is usually granted to vehicles with 9 seats or plugin types. Also, if you have paid the yearly Congestion Charge upfront then please select the option "I do not have to pay CC"

Bank Details
Name of the bank account owner*
Sort Code*
6 digits only (No / or -)
Account Number*
8 digits only
Carrot Cars is not responsible for any financial loss that is caused by an incorrect details above.*
- I do not hold Carrot Cars responsible

Do you have any medical conditions, including any allergies or/and any disabilities - that can affect your work?*
If yes, then please describe below or write "None"

Sum-up Device (Card machine) Acknowledgment and Agreement
This is to acknowledge I have received a Sum-up device from Carrot Cars with the appliance reference number noted as*
Your driver manager should have given you by now the white Sum Up device. Please write the serial number from the back, to this box. (IF YOU MAKE A MISTAKE WITH THE NUMBER THEN THE DEVICE WON'T BE WORKING)
I understand that under the terms and conditions of this agreement that it is my responsibility to safeguard the Sum-up device and return it without any damage and in full working order. I consent and acknowledge that failure to return the Sum-up device to Carrot Cars will result in a charge of £50+ VAT.*
- I understand and agree

Your consent
I consent to my photo being taken and stored by Carrot Cars on their information management system*
- I consent
I consent to my photo being used by Carrot Cars to be provided to customers via the website and mobile app in order to fulfil contractual obligations*
- I consent
I consent to Carrot Cars collecting and storing a copy of my proof of identity document and photo for the purposes of identification and to fulfil their legal obligation*
- I consent
I consent to Carrot Cars using my photo, name and any feedback on the Carrot Cars driver website*
- I consent
I consent to Carrot Cars processing information pertaining to any criminal convictions I may have through a Disclosure and Barring Service verification and a DVLA licence check in order to fulfil legal and contractual obligations*
- I consent
I consent to Carrot Cars collecting and storing data pertaining to my health and well-being, as well as any medication history in order to fulfil legal and contractual obligations*
- I consent
I consent to Carrot Cars collecting and storing my photo, in addition to using this image for online marketing and social media purposes*
- I consent

By clicking the date you are signing this form*
Date Format: DD slash MM slash YYYY

PCO License