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* required information
1. PERSONAL DETAILS *
Full First names
Surname:
Gender;
Age:
Marital status:
Do you have a South African passport:
Do you have a criminal record:
2. CONTACT DETAILS *
Contact Cell number:
Your E-mail adress:
City or town where you live:
3. EMPLOYMENT DETAILS *  
Are you currently employed:
What is your current or last earned monthly income
What would you like to earn, per month
4. DRIVING LICENCE DETAILS *  
Which drivers licence do you have
If yes, in which state was it issued:
Year of issue:
Which was your last year driving trucks in America
In what year did you obtain your first Code 14 or CDL licence:
5. Driving Experience *  
Years of experience driving 6X4 trucks with superlinks:
Years of experience driving 6X4 trucks with Tri axles
Please “tick” all the trucks you have driven longer then 4 months:

Mercedes
Man
Daf
Scania
Renault
Volvo
Peterbuilt
Mack

Nissan
Hino
Erf
Iveco
Isuzu
Freightliner
Volkswagen
Eagle

How many years experience do you have with Manual gearboxes:
How many years of the “manual box” experience were American “Fuller or EATON” gear boxes
Do you have any experience with Crash boxes? No /  If yes how many years
How many years with automatic or semi automatic gear boxes
6. Qualifications *  
Please list all diplomas and certificates you obtained as part of your professional  training. Eg:   1)  Qualified diesel mechanic, since 1995  2) Introduction to Hydraulics completed in 2000
7. Medical and health related information required *
Are you using drugs:
How fit do you rate your self, if a “ten” is a marathon runner and “zero” is a couch potato
Will you be able and willing to do some physical work in addition to driving
Have you done hard physical work before
If yes when and where:
How tall are you in meters
What is your estimated weight in Kilo grams
Do you have diabeties
If yes do you take medication for it
You will be required to submit yourself for a medical in America or Canada including an HIV test as part of your CDL licence there.
  Are you prepared to undergo and submit yourself to this medical examination
Are there any medical conditions you are aware of that may result in you failing this medical
8. English speaking and writing ability *
In order to obtain your American CDL licence, you will have to study and write and extensive test in English.
   
How good do you rate your self in writing and passing such an exam in English
 
I agree with the terms and conditions of my application for this program and hereby give permission to do background and criminal checks, as well as other reference checks.