<?php include 'include/header.php' ?>

<div class="ineer-banner">
	<div class="inner-img">
		<img src="images/courier-deilvery-banner.png" alt="Contact US" class="img-fluid">
	</div>
	<div class="heading-title">
		
		<h1>DRIVER REGISTRATION
</h1>
		
	</div>	
</div>
<div class="main-inner-section off-white-bg">
	<div class="container">
		<div class="row justify-content-between">
			<div class="col-lg-8 col-md-8">
			          	<div class="block-heading-inner">
					<p>Get in touch

</p>
					<h2>Apply to become 
 <span class="text-red">a courier with us </span></h2>
				</div>
				<div class="block-content-inner">				
                    
                <p>
                Register your interest in joining Parcel Recovery Solution. We are always on the look out for experienced same day and multi drop drivers. Looking for a new challenge? We also welcome people with no previous experience and can help guide you on the path to becoming a courier.
                </p>

				<p>Please complete the form below to register your interest.</p>
                  
                
<div class="panel panel-default">			
			<div id="collapseTwo" class="panel-collapse collapse in show">
			  <div class="panel-body">
				<div class="quate-detail">
					<form class="form-horizontal" method="POST">

<?php
if($_SERVER['REQUEST_METHOD'] == "POST")
{

	$message = "<p> Driver registration form submission via Website with below details : <br/><br/>";
	foreach($_POST as $key => $value)
	{
		$message .= $key . " : ". $value . " <br/>";
	}

	$message .= "<p>";

	$to = "info@parcelrecoverysolution.com";

$subject = 'Driver Registration Form';

$headers = "From: " . strip_tags("info@parcelrecoverysolution.com") . "\r\n";
$headers .= "Reply-To: ". strip_tags("info@parcelrecoverysolution.com") . "\r\n";
$headers .= "MIME-Version: 1.0\r\n";
$headers .= "Content-Type: text/html; charset=ISO-8859-1\r\n";

mail($to, $subject, $message, $headers);

	echo '<div class="alert alert-success" role="alert">
	Thanks for your message, we will get back to you Soon.
	</div>';

}
?>




						<div class="quate-form-block register-my-detail">
							<h3>Register My Details </h3>
							<div class="form-group">
								<div class="row">
									<div class="col-sm-6">
										<label>First Name<sub style="color:red">*</sub></label>
										<input type="text" class="form-control"  name="fname" required>
									</div>
									<div class="col-sm-6">
										<label>Last Name<sub style="color:red">*</sub></label>
										<input type="text" class="form-control"  name="lname" required>
									</div>
								</div>
							</div>
							<div class="form-group">
								<div class="row">
									<div class="col-sm-6">
										<label>Mobile No.<sub style="color:red">*</sub></label>
										<input type="number" class="form-control"  name="mobile" required>
									</div>
									<div class="col-sm-6">
										<label>Email<sub style="color:red">*</sub></label>
										<input type="email" class="form-control" name="email" required>
									</div>
								</div>
							</div>
							<div class="form-group">
								<div class="row">
									<div class="col-sm-6">
										<label>Address Line 1<sub style="color:red">*</sub></label>
										<input type="text" class="form-control" name="address1" required>
									</div>
									<div class="col-sm-6">
										<label>Address Line 2</label>
										<input type="text" class="form-control" name="address2">
									</div>
								</div>
                            </div>
                            <div class="form-group">
								<div class="row">
									<div class="col-sm-6">
										<label>Town<sub style="color:red">*</sub></label>
										<input type="text" class="form-control" name="town" required>
									</div>
									<div class="col-sm-6">
										<label>Postal Code<sub style="color:red">*</sub></label>
										<input type="text" class="form-control" name="postalcode" required>
									</div>
								</div>
                            </div>
                            
                            <div class="form-group">
								<div class="row">
									<div class="col-sm-6">
										<label>Vehicle Types you had driving experience <sub style="color:red">*</sub></label>
                                        <select name="vechical_exp" class="form-control" required>
                                            <option value="Small Van">Small Van</option>
                                            <option value="Transit MWB">Transit MWB</option>
                                            <option value="Transit LWB">Transit LWB</option>
                                            <option value="Trnasit LWB HT">Trnasit LWB HT</option>
                                        </select>
									</div>
									<div class="col-sm-6">
										<label>Are You Interested In<sub style="color:red">*</sub></label>
										<select name="vechical_exp" class="form-control" required>
                                            <option value="Part Time">Part Time</option>
                                            <option value="Full Time">Full Time</option>
                                        </select>
									</div>
								</div>
                            </div>
                            

                        </div>
                        


                        <div class="quate-form-block register-my-detail">
							<h3>Emergency Contact Details</h3>
							<div class="form-group">
								<div class="row">
									<div class="col-sm-6">
										<label>First Name<sub style="color:red">*</sub></label>
										<input type="text" class="form-control"  name="efname" required>
									</div>
									<div class="col-sm-6">
										<label>Last Name<sub style="color:red">*</sub></label>
										<input type="text" class="form-control"  name="elname" required>
									</div>
								</div>
							</div>
							<div class="form-group">
								<div class="row">
									<div class="col-sm-6">
										<label>Mobile No.<sub style="color:red">*</sub></label>
										<input type="number" class="form-control"  name="emobile" required>
									</div>
									<div class="col-sm-6">
										<label>Email<sub style="color:red">*</sub></label>
										<input type="email" class="form-control" name="eemail" required>
									</div>
								</div>
							</div>
							<div class="form-group">
								<div class="row">
									<div class="col-sm-6">
										<label>Address Line 1<sub style="color:red">*</sub></label>
										<input type="text" class="form-control" name="eaddress1" required>
									</div>
									<div class="col-sm-6">
										<label>Address Line 2</label>
										<input type="text" class="form-control" name="eaddress2">
									</div>
								</div>
                            </div>
                            <div class="form-group">
								<div class="row">
									<div class="col-sm-6">
										<label>Town<sub style="color:red">*</sub></label>
										<input type="text" class="form-control" name="etown" required>
									</div>
									<div class="col-sm-6">
										<label>Postal Code<sub style="color:red">*</sub></label>
										<input type="text" class="form-control" name="epostalcode" required>
									</div>
								</div>
                            </div>
                            
                    
                            

                        </div>


                        <div class="quate-form-block register-my-detail">
							<h3>References Contact Details</h3>
							<div class="form-group">
								<div class="row">
									<div class="col-sm-6">
										<label>First Name<sub style="color:red">*</sub></label>
										<input type="text" class="form-control"  name="rfname" required>
									</div>
									<div class="col-sm-6">
										<label>Last Name<sub style="color:red">*</sub></label>
										<input type="text" class="form-control"  name="rlname" required>
									</div>
								</div>
							</div>
							<div class="form-group">
								<div class="row">
									<div class="col-sm-6">
										<label>Mobile No.<sub style="color:red">*</sub></label>
										<input type="number" class="form-control"  name="rmobile" required>
									</div>
									<div class="col-sm-6">
										<label>Email<sub style="color:red">*</sub></label>
										<input type="email" class="form-control" name="remail" required>
									</div>
								</div>
							</div>
							<div class="form-group">
								<div class="row">
									<div class="col-sm-6">
										<label>Address Line 1<sub style="color:red">*</sub></label>
										<input type="text" class="form-control" name="raddress1" required>
									</div>
									<div class="col-sm-6">
										<label>Address Line 2</label>
										<input type="text" class="form-control" name="raddress2">
									</div>
								</div>
                            </div>
                            <div class="form-group">
								<div class="row">
									<div class="col-sm-6">
										<label>Town<sub style="color:red">*</sub></label>
										<input type="text" class="form-control" name="rtown" required>
									</div>
									<div class="col-sm-6">
										<label>Postal Code<sub style="color:red">*</sub></label>
										<input type="text" class="form-control" name="rpostalcode" required>
									</div>
								</div>
                            </div>

                            <div class="form-group">
								<div class="row">
									<div class="col-sm-12">
										<label>Do you have objections if we contact your present or past employee?<sub style="color:red">*</sub></label>
										<select name="objections" class="form-control" required>
                                            <option value="No">No</option>
                                            <option value="Yes">Yes</option>
                                        </select>
									</div>
									
								</div>
                            </div>
                            
                    
                            

                        </div>
                        

						<div class="quate-form-block register-my-detail">
                            <h3>Convictions </h3>
                            <p>Unprejudiced consideration will be given to candidates who declare criminal convictions.
Only offenses, which are manifestly incompatible with the post in question, will result in
candidates being excluded from consideration.</p>
							<div class="form-group">
								<div class="row">
									<div class="col-sm-12">
										<label>Have you ever been convicted of a criminal offense other than those that would be considered spent under the Rehabilitation of Offenders Order (NI) 1978?<sub style="color:red">*</sub></label>
										<select name="criminal-offence" class="form-control" required>
                                            <option value="No">No</option>
                                            <option value="Yes">Yes</option>
                                        </select>
									</div>
									
								</div>
                            </div>
                            
                            <div class="form-group">
								<div class="row">
									<div class="col-sm-12">
										<label>If Yes, please provide details</label>
										<input type="text" class="form-control" name="offence_details">
									</div>
									
								</div>
                            </div>
                            
							<div class="form-group">
								<div class="row">
									<div class="col-sm-12">
										<label>Are there any medical, religious or any other reasons why you would not be available for work on certain days?<sub style="color:red">*</sub></label>
										<select name="criminal-offence" class="form-control" required>
                                            <option value="No">No</option>
                                            <option value="Yes">Yes</option>
                                        </select>
									</div>
									
								</div>
                            </div>
                            

                            <div class="form-group">
								<div class="row">
									<div class="col-sm-12">
										<label>Do you agree to give 2 weeks notice should you decide to leave?<sub style="color:red">*</sub></label>
										<select name="notice-period" class="form-control" required>
                                            <option value="No">No</option>
                                            <option value="Yes">Yes</option>
                                        </select>
									</div>
									
								</div>
                            </div>


                            <div class="form-group">
								<div class="row">
									<div class="col-sm-12">
										<label>We must take copies of these documents for our records<sub style="color:red">*</sub></label>
                                        
                                        <br/>

<?php

$values = array("Passport - Photo Page",
"Passport - Front Cover",
"Driving license",
"Counter Part of Driving License",
"National Insurance Card",
"Photograph X2",
"Utility Bill in your Name",
"Birth Certificate (if no passport)",
"CSCS Cart (if applicable)",
"Identity Card (if applicable)",
"Vehicle Registration Documents",
"MOT(if applicable)",
"Insurance");

for($i=0;$i<13;$i++)
{

    echo '<div class="form-check form-check-inline">
    <input name="document[]" class="form-check-input" type="checkbox" id="inlineCheckbox'.$i.'" value="'.$values[$i].'">
    <label class="form-check-label" for="inlineCheckbox'.$i.'">'.$values[$i].'</label>
  </div>';

}

?>



									</div>
									
								</div>
                            </div>
                            

						</div>
						<div class="quate-form-block register-my-detail">
							<h3>Further Information </h3>
							<div class="form-group">
								<div class="row">
									<div class="col-sm-12">
										<label>Do you have a GPS?<sub style="color:red">*</sub></label>
										<select name="notice-period" class="form-control" required>
                                            <option value="No">No</option>
                                            <option value="Yes">Yes</option>
                                        </select>
									</div>
									
								</div>
                            </div>

                            <div class="form-group">
								<div class="row">
									<div class="col-sm-12">
										<label>Does your bike have a top box? (if you have a bike)<sub style="color:red">*</sub></label>
										<select name="notice-period" class="form-control" required>
                                            <option value="No">No</option>
                                            <option value="Yes">Yes</option>
                                        </select>
									</div>
									
								</div>
                            </div>

                            <div class="form-group">
								<div class="row">
									<div class="col-sm-12">
										<label>Can you read a map?<sub style="color:red">*</sub></label>
										<select name="notice-period" class="form-control" required>
                                            <option value="No">No</option>
                                            <option value="Yes">Yes</option>
                                        </select>
									</div>
									
								</div>
                            </div>

                            <div class="form-group">
								<div class="row">
									<div class="col-sm-12">
										<label>Are you willing to use/wear equipment supplied by the company?<sub style="color:red">*</sub></label>
										<select name="notice-period" class="form-control" required>
                                            <option value="No">No</option>
                                            <option value="Yes">Yes</option>
                                        </select>
									</div>
									
								</div>
                            </div>


                            <div class="form-group">
								<div class="row">
									<div class="col-sm-12">
										<label>Do you have mobile phone hands free capability?<sub style="color:red">*</sub></label>
										<select name="notice-period" class="form-control" required>
                                            <option value="No">No</option>
                                            <option value="Yes">Yes</option>
                                        </select>
									</div>
									
								</div>
                            </div>


                            <div class="form-group">
								<div class="row">
									<div class="col-sm-12">
										<label>Are you able to drive to<sub style="color:red">*</sub></label>
                                        <br/>
                                        <?php

$values = array("Central London Only",
"Scotland & North England Only",
"Europe",
"UK Wide");

for($i=0;$i<4;$i++)
{

    echo '<div class="form-check form-check-inline">
    <input name="region[]" class="form-check-input" type="checkbox" id="inlineCheckbox'.$i.'" value="'.$values[$i].'">
    <label class="form-check-label" for="inlineCheckbox'.$i.'">'.$values[$i].'</label>
  </div>';

}

?>
                                        
									</div>
									
								</div>
                            </div>


							<div class="form-group">
								<div class="row">
									<div class="col-md-6">
										<label>UTR Number</label>
										<input type="text" class="form-control" >
									</div>
									<div class="col-md-6">
                                    <label>National Insurance Number</label>
										<input type="text" class="form-control" >
									</div>
								</div>
							</div>
							<div class="form-group">
								<div class="row justify-content-center">
									<div class="col-md-6 text-center">
										<button type="submit" class="submit-quate"><span>Submit</span></button>
									</div>
								</div>
							</div>	
								
						</div>
					</form>
				</div>
			  </div>
			</div>
		  </div>
    










					</div>
			</div>
			<div class="col-lg-3 col-md-4">
				<div class="sidebar">
					<div class="sidebar-block">
						<div class="sidebar-img">
							<img src="images/sidebar-img.jpg" alt="Sidebar Name" class="img-fluid">
						</div>
					</div>
					<div class="sidebar-block">
						<div class="sidebar-heading">
							<h3>Services</h3>
						</div>
						<div class="sidebar-content">
							<ul>
								<li><a href="https://www.parcelrecoverysolution.com/newsite/courier-delivery.php">Courier Delivery</a></li>
								
							</ul>
						</div>
					</div>
					<div class="sidebar-block">
						<div class="sidebar-heading">
							<h3>Delivery</h3>
						</div>
						<div class="tracking-block">
							<ul>
								
								<li><a href="request_qoute.php">Get a Quote</a></li>
							</ul>
						</div>
					</div>
					<div class="sidebar-block">
						<div class="sidebar-heading">
							<h3>Contact</h3>
						</div>
						<div class="contact-info-block">
							<ul>
								<li class="phone-icon"><a href=""> +44 (0) 203 582 5879</a></li>
								<li class="email-icon"><a href="matil:info@parcelrecoverysolution.com">info@parcelrecoverysolution.com</a></li>
							</ul>
						</div>
					</div>
				</div>
			</div>
		</div>
	</div>
</div>
<section class="inner-service-section">
	<div class="container">
		<div class="row">
			<div class="col-md-12">
				<div class="inner-block-heading text-center wow animated fadeInDown" data-wow-delay="0.4s" data-wow-duration="0.5s">
				<p>A Partner </p>
					<h3>you can  <span>Trust</span></h3>
				</div>
			</div>		
		</div>
		<div class="inner-service-block">
			<div class="row">
				<div class="col-md-4">
					<div class="service-block">
						<div class="service-icon text-center">
							<img src="images/saftey-icon.png" alt="Saftey" class="img-fluid">
						</div>
						<div class="service-block-description">
							<h4>Saftey</h4>
							<p>Your goods and customers are of utmost importance to us.</p>
						</div>
					</div>
				</div>
				<div class="col-md-4">
					<div class="service-block">
						<div class="service-icon text-center">
							<img src="images/time-icon.png" alt="On Time" class="img-fluid">
						</div>
						<div class="service-block-description">
						<h4>Time Critical</h4>
							<p>Delivering your goods on time, every time.</p>
						</div>
					</div>
				</div>
				<div class="col-md-4">
					<div class="service-block">
						<div class="service-icon text-center">
							<img src="images/warehouse-icon.png" alt="Warehousing" class="img-fluid">
						</div>
						<div class="service-block-description">
							<h4>Network</h4>
							<p>We have an extensive network covering the UK & Europe.</p>
						</div>
					</div>
				</div>
			</div>
		</div>
	</div>
</section>
<section class="calculater-row">
	<div class="container">
		<div class="row align-items-center">
			<div class="col-md-9">
				<div class="calculater-block-content">
					<p>Not sure how much would it cost you?</p>
					<h4>USE OUR CALCULATOR TO FIND OUT!</h4>
				</div>
			</div>
			<div class="col-md-3 text-md-right text-center">
				<div class="calculater-btn">
				<a href="request_qoute.php" >CALCULATOR </a>
				</div>
			</div>
		</div>
	</div>
</section>

<?php include 'include/footer.php' ?>