A guide to completing the form
“Application to join PVG Scheme”
Designed for
organisations
enrolled with CRBS
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
Note : the red circles are for illustration purposes only!
X
X
5 year h
istory
required
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
Applicant 9 9 9 9 9 9 9 9
For a free disclosure application
X
X
X
For a free disclosure application
X
? ? ? ?? ? ? ? ?
For a paid disclosure application
X
A G R E E D P O S I T I O N
For CRBS only
Do NOT sign at F1/F2
Do NOT sign at F1/F2
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