Compulsory Basic Training Site Application Form (To be completed by ATB Authority Holder) Approved Training Body (ATB) Name ATB Reference No (if known) Proposed Site Name and Address (inc postcode) If postcode is not GPS compatible, please provide additional information as to site location ATB Contact Name, Telephone Number and Email address (Please note that this telephone number will be published if the application is successful) Site Contact Name and Telephone Number (if different) Type of Inspection NEW RE-INSPECTION (tick as appropriate) Has this site been previously approved for CBT? (It is the responsibility of the site owner and each ATB to agree access) YES / NO Have all relevant planning permissions and other approvals been obtained for this site? YES / NO Size of training area Must be a minimum of 80ft X 30ft (2400 sq ft) of usable space NOT including mandatory run off space. For advice regarding minimum run off space, please contact your local CBT Management team. If Yes, please provide site number (if known): You must have permission from the owner of site before any training takes place. If it is later found that you do not hold relevant permission, authority to use the site could be removed. Please provide a detailed diagram of the proposed site showing accurate measurements, boundaries and where it is situated in relation to any surrounding buildings/roads etc. If possible, please provide an aerial image of the site (Google Earth or similar) and digital photographs highlighting any hazards on or near to the proposed area. PROTECT When Complete Declaration CBT Element E specifies a minimum on road riding time of 2 hours during which a number of specific hazards and areas of development must be included. In submitting this application you are confirming that all aspects of Element E can be completed within a reasonable distance of this proposed training site. I declare that I have the owner’s permission to use this site for the purposes of motorcycle training. I declare that the information given on this form is correct and I understand that full site authorisation could take up to 8 weeks from submission of all correctly completed paperwork. I declare that all Certified Instructors within this Approved Training Body will be instructed to include all aspects of Element E when conducting the on road element of the CBT Course from this site. I confirm that all Certified Instructors at this ATB will be provided with a copy of the training site plan and conditions of authorisation (when approved) and will be instructed to adhere to them fully at all times whilst providing training on this site. IF YOU ARE MAKING A REQUEST FOR MULTIPLE SITES/AREAS, YOU MUST SUBMIT A SEPARATE FORM FOR EACH SITE/AREA Have you: Read the declaration in full before signing the application Enclosed a plan of the proposed area? Signature: ____________________________________________________ (Must be the named authority holder) Name: ____________________________________________________ (Block Capitals) ATB Name: ____________________________________________________ Date: ____________________________________________________ Please return this form along with all supporting documentation to: Driver and Vehicle Standards Agency CBT Section 4th Floor The Axis Building 112 Upper Parliament Street Nottingham NG1 6LP Email: cbt@dsa.gsi.gov.uk Telephone: 01159 366547 PROTECT When Complete