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A guide to completing the form

“Existing PVG Scheme Member
           Application”
Designed for

  organisations

enrolled with CRBS
Blank form
Do you know -

 1. Your PVG Scheme membership number?

 2. What kind of Scheme membership you already
    hold?
              (adults / children / both)

 3. Whether Disclosure Scotland has up-to-date
    contact details for you?

                Refer to your
Statement of Scheme Membership
If not, contact
     Disclosure Scotland
        PO Box 250
     Glasgow, G51 1YU
info@disclosurescotland.co.uk
       0870 609 6006
Use BLUE or BLACK ink
Use BLUE or BLACK ink

 Stay within the boxes
Use BLUE or BLACK ink

      Stay within the boxes

Do not use any stamps or stickers
Guidance on completing form
X


    X
X




X
X
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
t
Ap plican    99   99   9 999
SCWIS (Care Inspectorate)               101

General Chiropractic Council            102

General Dental Council                  103

General Medical Council                 104

General Optical Council                 105

General Osteopathic Council             106

General Teaching Council for Scotland   107

Health Professions Council              108

Nursing and Midwifery Council           109

General Pharmaceutical Council          110

Scottish Social Services Council        111
For a free disclosure application
X
                          X


X




For a free disclosure application
X




         ?       ?        ?         ?
 ?       ?       ?        ?         ?




For a paid disclosure application
ORG A N I S A T I ON   N A ME


AG R EED   P OS I T I O N
Do NOT sign at F1/F2

 Leave page 4 blank
The end
info@crbs.org.uk

 01786 849777

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PVG - Existing member form

  • 1. A guide to completing the form “Existing PVG Scheme Member Application”
  • 2. Designed for organisations enrolled with CRBS
  • 4. Do you know - 1. Your PVG Scheme membership number? 2. What kind of Scheme membership you already hold? (adults / children / both) 3. Whether Disclosure Scotland has up-to-date contact details for you? Refer to your Statement of Scheme Membership
  • 5. If not, contact Disclosure Scotland PO Box 250 Glasgow, G51 1YU info@disclosurescotland.co.uk 0870 609 6006
  • 6.
  • 7. Use BLUE or BLACK ink
  • 8. Use BLUE or BLACK ink Stay within the boxes
  • 9. Use BLUE or BLACK ink Stay within the boxes Do not use any stamps or stickers
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. X X
  • 16. X X
  • 17. X
  • 18. 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
  • 19. t Ap plican 99 99 9 999
  • 20. SCWIS (Care Inspectorate) 101 General Chiropractic Council 102 General Dental Council 103 General Medical Council 104 General Optical Council 105 General Osteopathic Council 106 General Teaching Council for Scotland 107 Health Professions Council 108 Nursing and Midwifery Council 109 General Pharmaceutical Council 110 Scottish Social Services Council 111
  • 21. For a free disclosure application
  • 22. X X X For a free disclosure application
  • 23. X ? ? ? ? ? ? ? ? ? For a paid disclosure application
  • 24. ORG A N I S A T I ON N A ME AG R EED P OS I T I O N
  • 25. Do NOT sign at F1/F2 Leave page 4 blank