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NUMER Medical
LTD
+233 277 82 3439
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Driver Application Form
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First name
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Last name
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Birthday
Day
Month
Year
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Address
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Email
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Phone
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Driver’s License Number
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License Class
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Expiry Date
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How many years of driving experience do you have?
Emergency Contact Phone #
Do you have an active MTN Mobile Money account in your name?
Yes
No
Please Provide phone number of active MTN Mobile Money Account
Do you have an active Whatsapp account?
Yes
No
1.Dispatcher contacts driver with pickup and drop of location 2.Driver provides Dispatch with price and ETA (estimated time of arrival to client's location) 3.Dispatch collects payment and informs driver 4.Driver completes job and receives payment.
Yes, I understand the payment process
No, I do not understand the payment process
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Upload video/ photos of vehicle
Upload File
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SECTION 3: COMPETENCY ATTESTATION I, ________________________, attest that I understand and agree to uphold the following competencies as a Medical Transport Driver: I will respect and protect patient confidentiality.
Yes
No
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I understand my role in safely transporting patients, ensuring their comfort and security. I will maintain punctuality and reliability.I will keep my vehicle clean and in proper working condition. I will assist passengers, with mobility issues.
Yes
No
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Professional Conduct: I recognize that I represent the healthcare team and will conduct myself professionally. I will wear appropriate attire and maintain personal hygiene. I will handle difficult situations with patience and professionalism.
Yes
No
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Vehicle Maintenance & Safety Compliance I will conduct daily vehicle inspections, checking brakes, fuel levels. I will comply with all Ghana DVLA driving regulations and safety protocols. I will respond appropriately to vehicle issues.
Yes
No
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I confirm that all information provided in this application is accurate and that I understand my responsibilities as a Medical Transport Driver.
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You will receive a phone call at the number provided, once your application is processed.
Yes, I understand
No, I do not understand
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