PLEASE COMPLETE THE DECLARATIONS BELOW.
If you are unsure about any answer, select 'Yes' and a text area will appear for you to add any detail.

1. Do you have an unspent criminal record?
2. Have you been dismissed from employment for any reason?
3. Have you been refused / expelled from any professional membership?
4. Have you been diagnosed/medicated for mental health issues in the last 3 years?
We may need to contact you by phone for further details regarding your application.
Please select any times that are normally suitable for this:

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