Driver Signup - Gem Hire Limited

Step 1: Personal Information

Title *

Gender *

First Name *

Last Name *

Email *

National Insurance Number *

Nationality *

Date of Birth *

Please select your preferred site location *

Please select a service if you require an account? *

Do you require a van to rent? *

Contact Number *

Emergency Contacts

Emergency Contact 1:

Full Name *

Relationship *

Phone Number *

Full Address *

Emergency Contact 2:

Full Name *

Relationship *

Phone Number *

Full Address *

Next of Kin:

Full Name *

Contact number *

Address *

Relationship *

Please enter your bank details below so that we can pay you correctly:

Bank Name *

Sort Code *

Account Number *

Step 3: Address History

Please fill out all of the previous addresses you have lived at in the last 7 years. Enter your current address first.

Enter the postcode of your current address *

Lookup Address

Previous Address 1

Enter the postcode of your previous address *

Lookup Address

Previous Address 2

Enter the postcode of your previous address *

Lookup Address

Previous Address 3

Enter the postcode of your previous address *

Lookup Address

The number of address history years *

Do you have a criminal record? *

Step 4: Drivers Licence

Do you hold a UK Drivers Licence? *

Step 5: Further Information

How did you hear about us? *