Criminal Record Checks Criminal Record Checks Title (Mr, Mrs, Miss, Dr, etc) Surname * Surname Surname at birth (if different) * Surname at birth (if different) Forename * Middle Name * Gender * Have you ever been known by any other names? * NoYes (Transgender applicants who do not want to reveal details of a previous identity can contact the DBS sensitive applications team by telephone 0300 106 1452 or email sensitive@dbs.gov.uk) Other Names * Place of birth (town) * Place of birth (country) * Birth Country * Birth Nationality * Email * Home Landline Phone Number * Mobile Phone Number * Mother’s Maiden Name * National Insurance Number * Do you hold a valid UK driving licence? * YesNo If ‘yes’, you must enter your driving license details. Driving Licence Number (Example UK Format: SMITH601214J99AB) Post Code on your Driving Licence Driving licence Valid from date Northern Ireland Driving Licence? NoYes Do you hold a valid passport? * NoYes Passport Number * Nationality * Country of Issue * Date of birth on passport * Passport Issue Date * Passport Expiry Date * Address * Town/City * Country * Post code * Address History You must provide all other addresses where you have lived in the last 5 years. You must provide these in descending date order and the day/month/year that you left one address must be the same day/month/year that you moved into the next address. Address 1 Town/City Country Post code From To Address 2 Town/City Country Post code From To Address 3 Town/City Country Post code From To If you are human, leave this field blank. Submit
