Driver Living and Working Abroad Form 205

Transport for London
London Taxi and Private Hire
TPH/205
Living and Working Abroad Form
For LTPH use only
If you have stated on your application form that you have lived in a country other than the UK for one or more
continuous periods of 3 months or more within the last 3 years, please provide the following information in the
section(s) on the reverse of this form:
The date that the period of living and working abroad began and ended
The full address (in as full a format as possible) where you were living
The name of your employer (if applicable)
The employers telephone number (if available)
Details of any convictions gained as a result of offences committed during this period
Do not include periods of extended holiday/vacation.
PLEASE NOTE: Those applicants who complete form TPH/205, confirming that they have lived in a country other than
the UK for one or more periods of three months or more, within the last three years, will be required to produce a
Certificate of Good Conduct issued by the relevant non-UK country. A Certificate of Good Conduct is an extract from
the judicial record or an equivalent document issued by a competent judicial or administrative authority
in the relevant country.
In order to obtain a Certificate of Good Conduct and for up to date information on any costs involved, you should
contact the Embassy or High Commission of the country in question.
A translation will be required if it is not provided in English.
Failure to provide a certificate may prevent an application being considered. Failure to provide such information,
without good reason, will be taken into account when a decision is made. Transport for London (TfL) will consider each
individual case on its own merits, having regard to the need to protect the safety of the travelling public and whether
the applicant has demonstrated that they are a fit and proper person to hold a licence.
When completing this form

4 Please use BLOCK CAPITALS and black ink
8 Please do not use correction fluid
A - Personal Details
A1 Licence or reference number (if applicable)
A2 Surname/family name
A3 Forename(s)
A4 Date of Birth
D D M M Y Y Y Y
MAYOR OF LONDON
1 of 2
B - Living and Working Abroad Details

If you have lived and worked abroad for more than one period, please photocopy this page, complete a copy for each period and
attach to the form.
B1 Period from
D D M M Y Y Y Y
D D M M Y Y Y Y
to
B2 Address
B3 Name of employer (if applicable)
B4 Telephone number (if available)
If you have completed the sections above, please complete the table below to confirm any criminal convictions gained as a result of
offences committed during this period.
B5 Were you convicted of any criminal offences committed during this period of living abroad? (4)
No
Yes
Date of Offence
(Please provide further details below)
Nature of Offence
Date of Conviction
Sentence
C - Data Protection
Transport for London (TfL) its subsidiaries and service providers will use your personal information (including any references to your health, ethnic origin, nationality,
or previous criminal convictions), for the purpose of assessing your application, administering the licensing regime, and equal opportunities monitoring. Your personal
information will be properly safeguarded and processed in accordance with the requirements of the Data Protection Act 1998. Further information, including a full copy
of the Taxi and Private Hire Privacy notice, is available at tfl.gov.uk/privacy
D - Declaration
I declare that all information provided on this form is true and correct to the best of my knowledge. I understand that the issue of a licence in respect of this
information can be refused and any licence can be revoked if any statements are subsequently found to be false. I undertake to keep LTPH informed of any changes
to any details supplied in this form, and I am aware that failure to do so will constitute a breach of my licence conditions and may lead to the possible revocation and
suspension of my licence.
Date
Signature
D D M M Y Y Y Y
TPH/205
V1, 11/2011
2 of 2

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Transport for London

London Taxi and Private Hire

For LTPH use only

When completing this form

B - Living and Working Abroad Details

B3 Name of employer (if applicable)

B4 Telephone number (if available)

(Please provide further details below)

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