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Current Address
Personal Details
Current Nationality
- In a fostering household
- In a childminding household
- In a host family or Living where ‘work with children’ takes place e.g. living in a boarding school.
Additional personal details
Place of Birth - Please enter town / city names and county / district names in full as recorded on your Birth Certificate
Declaration
Consent of applicant
I consent to the DBS checking the details I have provided in support of this application against the data sources specified in the notes for guidance, in order to verify my identity and process this application. These details may be recorded and used to assist other organisations for identity verification purposes.Declaration by applicant
I confirm that the information I have provided in support of this application is complete and true and understand that knowingly to make a false statement for this purpose is a criminal offence.Summary
Personal Details
Current Address
Previous Addresses in the last 5 years