Date Received:
Processed by: / Office Use Only
NR Updated: / Form PSR1
DD HGF002 v4 August 2017
NOTES: This form is only for people recording their own Service History:
Please show SURNAME first and include as much information as you can. Use a computer where possible or if completing by hand please PRINT IN BLOCK CAPITALS. Where an actual date is unknown, show as c.1975.
Feel free to get carried away and continue on extra pages.
Please attach a (digital or print) portrait photo and say when it was taken
This is an internal historical record. It will never be made public and no information will be made available from it unless the subject has been deceased at least 3 years.
Full NameSurname in caps / DoB:
Force you first joined: / First Railway, Dock or Canal (RDC) force joined / Date Entered Service:
Location
Commenced: / First Collar No:
Post at conclusion:
Did you Retire or Resign? / on Date: / At Rank:
Retired / Resigned
Photo enc. / Yes / No Year Taken:
A. Where Served (In order- show service in non- BTP forces here) Add extra lines or continue on plain paper if needed
Location / Post/Rank / Collar No / Dates from/toB. Specialist Roles or TrainingPlease show any specialist roles you held or training you received. Include CID, Dog Section, Crime Prevention, Scenes of Crime, Search, Major Incident, Promotion and Command courses, etc
When this section is complete please delete any unused rows if you are using a computerC. Awards & Commendations(Commends, Lifesaving, Bravery, Medals, Honours etc)
Date / Type / NotesLSGC Medal
D. Previous Service (Include any police, military/naval, railway service & any awards or medals
Dates / Body (e.g. Regt, Force, TOC) / Post/Rank/TradeE. Other Relevant Information(e.g. notable incidents attended, community recognition [e.g. for charity work], family details including your current address, or anything relevant)
Today’s Date: Signature if hand written: