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NPPV 1
PERSONAL INFORMATION

You MUST answer every question or the form will be returned

* Delete whichever inapplicable

Your company details
Company name:
Sub contractor’s name (if applicable):
Project/Site where you will be working:
Your position in the company:

Your personal details

Title: / *Mr / Mrs / Miss / Ms
Surname:
Forename(s):
Date of birth:
Place of birth:
Any previous surname(s):
Your current address
House name or number:
Street:
District:
Town/City:
Postcode:
What date did you move into this address?
Your contact numbers
Home: / Mobile:
Work: / E-mail address:
Have you lived at any other address in the last five years? / *YES / NO
If you have answered ‘YES’ to the above question, please provide full details below and if necessary, on a continuation sheet
House Name/No:
Street:
District:
Town/City:
Postcode:
Dates when you lived there:
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Arrests/Investigations/Cautions/Convictions
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Warning:
You must answer the following question fully, truthfully and accurately. The Police Service is entitled to check historical records and where it is suspected that you have deliberately failed to disclose information; this will be taken into consideration when deciding whether to grant or refuse vetting clearance.
Have you during your lifetimebeen arrested, investigated, summonsed, charged, cautioned or convicted for any offence by any UK or foreign police force or law enforcement agency?
This includes, but is not restricted to:
  • Traffic offences (except parking)
  • Appearances before a Court Martial
  • Being interviewed under caution for any offence
  • Receipt of an Absolute/Conditional Discharge or Bind Over
  • Receipt of a Reprimand, Warning, Final Warning or Caution, either as an adult or juvenile
  • Being the subject of an Anti-Social Behaviour Order, Football Spectator Banning Order, Risk of Sexual Harm Order, Harassment Order
  • Being issued with a Penalty Notice for Disorder or other Fixed Penalty Notice (other than for parking)

YES NO

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If you answered ‘YES’ to the above question, you must provide full details. Please note that the Rehabilitation of Offenders’ Act does not apply to the Police Service.
Offence / Result / Court/Police station / Date
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Declaration
You must complete this declaration
I consent to the West Yorkshire Police conducting any checks which they believe to be necessary in relation to the information which I have supplied on these vetting forms.
I declare that to the best of my knowledge and belief the information provided is complete, accurate and up to date.
I understand that if I have knowingly made a false statement or deliberately not provided information which is required, I may be refused vetting clearance and will therefore not be allowed access to West Yorkshire Police premises.
Signature:…………………………………………………………………. / Date:…………………………….
FOR COMPLETION BY SPONSOR
Please attach photocopies of all documents produced
Verification of applicant’s identity
A vital part of the vetting process is that the identity of the person undergoing vetting is verified.
It is the responsibility of the sponsor to examine any documentation produced as proof of identity and address. The sponsor should sign in the box below to indicate that the documentation is authentic and acceptable.
Means of establishing IDENTITY
A full 10 year current British (or EEA) Passport and a British Driving Licence must be produced if held.
Where a passport is not held, at least two of the following must be produced:
  • British driving licence.
  • Full birth certificate (issued within 6 weeks of birth).
  • P45.
  • Cheque book and bank card with three statements and proof of signature.
  • Credit card with three statements and proof of signature.
Means of establishing RESIDENCE
Proof of residence will be by way of two current utility bills.
Which documents produced:
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I am satisfied that the documentation provided is authentic, acceptable and sufficient to confirm the applicant’s identity and residence.
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Name, designation and department (in BLOCK LETTERS):
Signed: (Business Manager or Sponsor) / Contact No:
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Continuation sheet
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