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ADI 37B (Rev. 03/10) Application for re-registration as an approved driving instructor (ADI) Register of Approved Driving Instructors Stay up to date - visit us on the internet at Apply online at - www.businesslink.gov.uk/transport www.transportoffice.gov.uk Business Link website contains all the latest news and The transportoffice website contains all the latest news and information essential for driver trainers and road users. Please read the Notes for guidance before completing this form. Your Details 1 Business Details 2 Please give your criminal record disclosure reference number Name of driving school: (if appropriate). Business address: Date of issue of Disclosure: Your ADI Personal Reference Number (PRN): End date of last certificate: Postcode: Title: Business telephone number: Mr. Mrs. Miss Ms. Other First name(s): Correspondence Details 3 Where would you like us to write to you? Surname: Address: Home address: Postcode: Postcode: Telephone number (with area code): Telephone number (with area code): Email address: Mobile number: Which contact number and email address would you like us to Email address: publish on our website? Home Correspondence Do not publish details details my details Character Details 4 Declaration 6 Have you been convicted of any offence within the last five years? (This includes fixed penalties or Yes No I declare that: other motoring offences, and non-motoring offences. You must also declare spent as • The details given in this form are to the best of my well as unspent offences.) knowledge true and correct • I understand that if my name is kept on the Register Have you any endorsements Yes No I must undergo tests of continued ability and fitness to on your licence? give instruction during the examiners’ normal working hours, and that if I do not attend such a test my Are any sort of court name may be removed from the Register. proceedings against you waiting to be heard? Yes No • I understand that I must notify the Registrar of Approved Driving Instructors within seven days if I: Have you been disqualified from driving at any time • Change my home address or place of employment during the last five years? Yes No as an instructor; • Am convicted of any offence, including motoring Have you been registered as a offences, fixed penalties and non-motoring offences; or sex offender or disqualified from working with children in any way Yes No • Am registered as a sex offender or disqualified from in the last five years? working with children in any way. If the answer to any of these questions is “Yes”, please give us If I do not, my name may be removed from the Register. details on a separate sheet of paper and attach it to this form. I apply to be re-entered on the Register of Approved Driving If you are disqualified from working with children, it is an offence Instructors for a further four years. for you to remain on the Register of Approved Driving Instructors. Warning Licence Details 5 If you make a false statement on purpose so that you keep your name on the Register, or if you give instruction without having an ADI licence, you may be liable for a Do you hold a current full fine of up to £2,500. (not provisional) driving licence for a motor car, issued in Great Yes No Britain or Northern Ireland? Do you agree to keep to the Voluntary Code of Practice*? Yes No What is the driver number on your driving licence? Signed: Is your licence restricted in any way, for example for medical reasons, or for a period of time? Yes No Dated: If yes, please give us details on a separate sheet. During your period of registration you will be required to take a test of continued ability and fitness to give instruction, commonly Check list - Have you: known as a ‘check test’. At which driving test centre do you prefer to take your check test? • obtained your criminal record disclosure (if appropriate)? • Enclosed the correct fee* or completed the payment slip below? • Enclosed one passport type photograph? • Written your ADI number and the date your last certificate ran out at the top of the form? • Signed the form? Now please return the form together with your fee and photograph to: Credit and debit card payments: Driving Standards Agency, The Axis Building, 112 Upper Parliament Street, Nottingham, NG1 6LP Cheque and postal order payments: Driving Standards Agency, PO Box 280, Newcastle-upon-Tyne NE99 1FP * Information about the starter pack, Code of Practice and fees can be found on www.businesslink.gov.uk/transport Additional Voluntary Information 7 ADI 37B - Notes For Guidance You do not have to complete this section Contact us if Tel: 0300 200 1122 Release of Information: you have any Email: email@example.com Outside organisations often ask us for the names and addresses queries: on our database. Before we can supply this information, we are obliged under the Data Protection Act 1998 to ask for your consent. If you give your consent, we would make it a condition Please note: this form should be used only when applying for that organisations would not, in turn, sell it to anyone else. re-registration within 12 months of your last certificate running out. If your certificate is still valid you should apply for an extension of I agree to give my consent registration online at www.businesslink.gov.uk/transport or by using form ADI 37A. Equality and Diversity: If your last certificate ran out more than 12 months ago you will have to pass the qualifying tests again. You can apply to do this We recognise and value diversity. We want to ensure all eligible online at www.businesslink.gov.uk/transport or by using form applicants are considered with respect to their own ability and ADI 3, which is included in our starter pack for ADI. You can buy a which is not influenced by other factors. To help us to do this effectively we need to monitor our policies and procedures. starter pack by ringing 0300 123 1126 and paying by credit/debit card, or writing to the Please tick the box which most applies to you. Driving Standards Agency, The Axis Building, Mixed Caribbean Arab and White 112 Upper Parliament Street, Nottingham, NG1 6LP. Cheques and postal orders should be crossed and made payable Bangladeshi Other Asian background to the Driving Standards Agency. Please visit www.businesslink.gov.uk/transport to check the correct price, or contact us by phone or email. Black African Other Black background Payment will be taken from your account as soon as your application has been received. This does not indicate that your Black Caribbean Other ethnic background application has been successful. If it is refused we will issue you with a full refund. Chinese Other mixed ethnicity Criminal Record Check You will usually need to have a criminal record check before you submit this form. Gypsy/Irish or Other White background Scottish traveller You should ring us to let us know that you intend to re-register after that date and require a criminal record disclosure. We will Indian Pakistani then arrange for our contractor, TMG CRB, to send you a disclosure application form and guidance on how to complete it. The form Mixed African and White White British should then be returned to them. When they have checked it to make sure it is completed properly, they will send it to either the Criminal Records Bureau if you normally live in England or Wales, or Mixed Asian and White Prefer not to say Disclosure Scotland if you live in Scotland. A criminal record report, or disclosure, will then be sent to you and a copy to our contractor, who will forward it to us. Mixed Asian background Gender Male Female (continued over the page) Please do not detach slip I wish to pay by Visa / Mastercard / Delta. Name of card holder: (delete as appropriate) Please charge £ to my account Address: My card number is: Start Date: Expiry Date: Issue Number: If paying by credit/debit card I agree that any refund be made to the card holder Signature of card holder: Signature of Date: candidate: ADI 37B - Notes For Guidance (continued) You do not need to send us your copy of your disclosure - all you Ethnic Origin need to do is write its reference number in the box on this form. We recognise and value diversity. We want to make sure that we Please apply for your disclosure in good time. It may take many consider equally everyone who applies to be an ADI with respect weeks for it to be provided to you, and then we will need time to to their own ability whatever their race, nationality, ethnic origin, consider your application. gender identity, sexual orientation, marital status, age, disability, religion or belief. We want to make sure that this policy is working Please note: If you have any endorsements or more than 3 fixed and take steps to make sure that we make progress within the penalty points on your licence you should contact us, by phone equality and diversity field. in the first instance, before applying for your disclosure. We will then advise you what you should do next. To do this we need you to answer the questions in this section. Your answers will in no way influence your application to become an Having a criminal record will not necessarily bar you from approved driving instructor as long as you meet the qualifying criteria. being accepted as an Approved Driving Instructor. Please read our statement on the suitability of ex-offenders to apply to join the We will keep this information confidential and only use it for Register of Approved Driving Instructors. This, and our statement monitoring purposes. We will store this information on our on how we handle disclosure information, is available on our electronic document archive and ADI Register database. website above. Processing your personal data DSA complies fully with the Criminal Records Bureau and Disclosure Scotland Codes of Practice. Copies of these are The Driving Standards Agency (DSA) directly manages all personal available on request from DSA, or from the data it processes as an executive agency of the data controller, the www.crb.homeofficegov.uk and Department for Transport. www.disclosurescotland.co.uk websites. We use the personal data you give us to help run the Register of So that we can assess if you continue to be a “fit and proper” ADIs and practical driving test. We also use your details for statistics person, you must tell us about any motoring or non-motoring and analysis to assess equality and improve our customer service. offences (including fixed penalties and cautions) that you may have been convicted of or awarded in the last five years. We are entitled We must ensure the integrity of the driving test. We may use the by law to ask you to declare spent as well as unspent convictions. personal data you supply for the purposes of preventing or detecting crime and catching or prosecuting offenders. This may include hidden Section 6: Additional voluntary information monitoring when appropriate. You do not have to complete any part of this section. We do not disclose or share personal data with any third parties other than in line with the Data Protection Act 1998. This may include, but is Release of Information not restricted to, disclosure to the police, HM Revenue and Customs, local governments and DVLA. In the case of transfers from DVLA, this We are frequently approached by outside organisations, asking for may include details of endorsements for the purpose of ensuring that the names and addresses on our database. Before we can supply registered ADIs continue to be fit to remain on the register. this information, we are obliged under the Data Protection Act 1998 to ask for your consent. An example of this would be third parties For further information, please see our website www.dsa.gov.uk wanting to send marketing information. If you give your consent, or look for our Notification Document on the Information we would make it a condition that organisations would not, in turn, Commissioner’s website www.ico.gov.uk. Our registration number sell it to anyone else. is: Z7122992. Please tick the box on the previous page if you are happy for us to release your name and address to any company or organisation. You shouldn’t tick the box if you don’t want us to release your name and address to any company or organisation. We will still send important information to you.
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