Update PVG

PVG Existing Application Form

The Protection of Vulnerable Groups (Scotland) Act 2007

Existing PVG scheme member

All fields must be filled unless marked as optional

1. About you: the individual

Date submitted: *

Application type: *

PVG Scheme Record update - Adult

Title: *

Surname: *

Forename(s) *

Gender *

Date of birth: *

PVG membership ID: *

Are there changes to your personal details that you have not already told us about?

Yes/No *

Yes No

If yes for the above, please specify: *

2. Your contact details

Email address *

Home telephone: *

Mobile number: *

3. Regulatory body details (see guidance notes)

Are you registered with a regulatory body?

Yes/No *

Yes No

Regulatory body code: *

Registration number: *

Regulatory body code: *

Registration number: *

4. Declaration on application

I request that a disclosure record be issued to the persons specified in this application in relation to the type(s) of regulated work specified. i understand the following:

Disclosure Scotland will use the information i have given to verify my identity and to check and process my application. Disclosure Scotland will use this information and any other information relating to my Scheme membership for the purpose of the Scheme, for the prevention or detection of crime and for other related purposes. Disclosure Scotland will continuously monitor and update the information it holds about me.
Disclosure Scotland may pass the information it holds about me to other Government departments or organisations, the police and other law enforcement agencies for the purposes of the Scheme, of the prevention and detection of crime, of the apprehension and prosecution of offenders and for other related purposes.

I declare that the information i have given is complete and correct. I understand that to knowingly make a false statement in this application is a criminal offence. I will give any additional information that may be required to verify the information given and will immediately notify any changes to this information.

Applicants signature: *

Signature date: *

Submit