Sayram Corp Application Form

This certifies that, all that entries above are true and complete to the best of my knowledge. I authorize You to make inquiries of my personal, employment, or medical history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, health care providers and other persons from all liability in responding to inquiries and releasing information about my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination of my contract.

I, understand and certify the requirement of providing a notice to my employer within 48 hours of any conviction, or any traffic offence, other than parking tickets, in any state issued in my name.

I certify that I have not been convicted or forfeited bond or collateral because any violation (other than those I have provided under part 383) required to be listed during the past 12 months.

I certify that the following is a true and complete list of traffic violations (other than parking violations) for which I have been convicted of forfeited bond or collateral during the past 12 months.

I certify that I have received company's rules and regulations. As required by DOT/FMCSA, I agree to read and familiarize myself with the following handbooks, which are required to be in each vehicle and are available through the company.

HANDBOOKS:
1. Federal Motor Carrier Regulations Handbook
2. Company rules and regulations guidelines.

Following these training was a question and answer period which included additional company illustrations, photos, forms, further explanations, and oral tests on these and other topics.

I understand that if I have any questions or wish to have any areas of the training clarified, I may come to the company and get further explanations or information.

I have reviewed and completed comprehensive safety
training and other public safety issues. The items that were discussed are listed below:

• Unsafe driving (speeding, seat belt etc.)
• Fatigued driving (HOS violations, log falsifications etc.)
• Driver`s fitness (MVR, medical card, knowledge of English language etc.)
• Controlled Substances and Alcohol
• Vehicle maintenance
• Cargo Secure
• Crash and accident factors (preventive and following actions)

I am now versed in proper DOT regulations (395.8), I understand that by not following these DOT regulations I will be subject to company disciplinary actions. I am also aware and have been informed of all company fines which will be enforced on the first day of my contract with my company. Failure to comply with company rules which are explained in the company handbook.

1. At the Shipper, drivers must request the shipper to sign on the BOL “SLC” (Shipper Load Counted) and get shipper person’s name and signature.
2. At the receiver drivers must request, the receiver to sign on BOL “Seal intact” if a trailer has a seal and get receiver person’s name and signature.
3. Those two signatures must be on each BOL
4. The drivers, who will avoid this rule will not get paid for the trip.

If you answered yes to any of the above questions, attach a statement of explanation and provide proof of return to duty process.

I understand that, as required by the Federal Motor Carrier Safety Regulation and company policy, all drivers must submit to alcohol and controlled substance testing as a condition of employment. I also understand that any offer of employment will be contingent upon the results of an alcohol and controlled substance test.

Therefore, I agree to submit to the following alcohol and controlled substance tests in accordance and as defined by the Federal Motor Carrier Safety Regulation and this company’s policies:

1. Pre-Employment, to determine employment eligibility
2. Random testing as required by Company
3. Reasonable Suspicion
4. Post - Accident (anytime any vehicle is towed, I am required to take a drug-test within 8 hours).

I understand that as a condition of qualification with this Company, I must give the company written authorization to obtain the results of all DOT required drug and/or alcohol test (including any refused to be tested) from all of the companies for which I worked as a driver, or for which I took a pre-employment drug and/or alcohol test, during the past two (2) years. I have also been advised and understand that my signing of this authorization does not guarantee me a job or guarantee that I will be qualified with the Company.

I hereby authorize the Company to obtain from those companies, and I hereby authorize those companies to furnish to Company , the following information
concerning my drug and alcohol test:

(I)all positive drug test results during the past two (2) years;

(II) all alcohol test result of 0.04 or greater during the past two (2) years;

(III) all alcohol test result s of 0.02 or greater but less than 0.04 during the past two (2) years;

(IV) all instance s in which I refused to submit to a DOT required drug and/ or alcohol test during the past two (2) years.

I understand this authorization to release my past drug alcohol test
result. In sighing below, I certify that all the information which I have furnished on this form is true and complete, and, that I have identified all the companies for which I have either worked, or applied for work, as a driver during the past two years.

The Federal Motor Carrier Safety Administration (FMCSA) prohibits texting by commercial motor vehicle (CMV) drivers while operating in interstate commerce and imposes sanctions, including civil penalties and disqualification from operating CMVs in interstate commerce, for drivers who fail to comply with this rule. FMCSA amends its commercial driver's license (CDL) regulations to add to the list of disqualifying offenses a conviction under State or local traffic laws or ordinances that prohibit texting by CDL drivers while operating a CMV, including school bus drivers.

The rule imposes sanctions for driver offenses, including civil penalties to a driver up to $2000 and driver disqualification for multiple offenses. Violations will impact SMS results. Texting and calling on a hand-held phone carry the
seavirity weight in company's safety rating.

Therefore, I clearly understand and attest that I am required to abide by the following rules and requirements:

Drivers are not permitted to use a hand hold cell phones while operating a motor vehicle on company business and/or on company time unless the device can be used hands free. Drivers are not permitted to read or respond to e-mails or txt messages while operating a motor vehicle on company business and/or on company time. This policy also applies to use of PDAs.

While driving, calls cannot be answered and must be directed to voice mail if your handhold device is not enabled for hands free use. If a driver must make an emergency call the vehicle should first be parked in a safe location. Bluetooth with 2 buttons can be used while driving.

Contractors (drivers) are responsible for payment of civil penalties in the event of a citation issued. If a driver is cited by any enforcement agency for cell phone use violations or if a driver is observed using a hand-held device and the use is confirmed by one or more supervisory or management, I will be subject to disciplinary actions up to termination.

Correspondingly, any supervisor or management personnel found to allow, encourage, pressure, or threaten adverse action against a driver for complying with this policy shall be subject to disciplinary actions e up to termination.

Your signature below certifies your agreement to comply with this policy.

If you do have a business registered in your name, please provide a copy of Tax ID Letter from IRS and a voided check for your business checking account to receive payments into your business account.

THE BELOW DISCLOSURE AND AUTHORIZATION LANGUAGE IS FOR MANDATORY USE BY ALL
ACCOUNT HOLDERS
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service

In connection with your application for employment with

(“Prospective Employer”), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication. Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

AUTHORIZATION
If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:

I authorize

(“Prospective Employer”) to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I
understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication.

I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report,
or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes
were reported to FMCSA, regardless of fault.

Similarly, I understand all inspections, with or without violations, will appear on my
PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and
remain, on my PSP report.

    I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I
sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history.

I hereby
        authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.

NOTICE: This form is made available to monthly account holders by NIC on behalf of the U.S. Department of Transportation,Federal Motor Carrier Safety Administration (FMCSA). Account holders are required by federal law to obtain an Applicant’s written or electronic consent prior to accessing the Applicant’s PSP report. Further, account holders are required by FMCSA to use the language contained in this Disclosure and Authorization form to obtain an Applicant’s consent. The language must be used in whole, exactly as provided. Further, the language on this form must exist as one stand-alone document. The language may NOT be included with other consent forms or any other language.
NOTICE: The prospective employment concept referenced in this form contemplates the definition of “employee” contained at 49