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Licence your (Black
Name
*
First
Last
Phone Number
Email Address
Date of Birth
Home City/Town
Postcode
Do you hold a Private Hire Licence?
yes
No
Do you also hold a Hackney (Black Cab) Licence?
yes
No
Licence Issuing Council/Authority
Do you own or rent your vehicle?
Own
Rent
Leasing
Not yet
Make & Model, Year
Fuel Type
Petrol
Diesel
Hybrid
Electric
Is your vehicle PHV registered and insured
Yes
No
What areas are you interested in working?
City names, postcodes
Are you interested in investing in the platform?
Yes
No
I confirm my details are accurate
I want to be notified when the app launches in my area
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