PART B Candidate ID No: Job Reference No: Declarations Job Reference Number: Convictions NHS Scotland is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) () Order 2003. This means that unless stated in the job description, person specification or application pack, you must tell us about any previous convictions either classed as or If you are offered employment, any ‘spent’ ‘unspent’. failure to disclose such convictions could result in dismissal or disciplinary action. Any information you give will be considered only in relation to the post for which this application form refers. Information will be verified by Disclosure for relevant posts. I declare that I have: (a) No previous convictions (b) Previous convictions details of which are: – Please read the following statements. You will be asked to sign a declaration if you are appointed: I have completed Parts A to D of this application form and the details I have supplied are, to the best of my knowledge, true and complete; I understand that if appointed to this post the information on this form will be kept as part of my personal file record; I authorise you to obtain references to support this application if I am identified as a preferred candidate; I understand that details of educational qualifications, membership of professional bodies and referee reports may be verified through the establishments and individuals I have indicated; I consent to my details being kept confidentially and used for specific and lawful purposes as specified in the Data Protection Act 1998; I declare that I have no previous convictions, or have identified any I have above.
Job Reference No: Job Reference Number: PART B Candidate ID No: Declarations Convictions NHS Scotland is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) () Order 2003. This means that unless stated in the job description, person specification or application pack, you must tell us about any previous convictions either classed as ‘spent’ or ‘unspent’. If you are offered employment, any failure to disclose such convictions could result in dismissal or disciplinary action. Any information you give will be considered only in relation to the post for which this application form refers. Information will be verified by Disclosure for relevant posts. I declare that I have: (a) No previous convictions (b) Previous convictions – details of which are: Please read the following statements. You will be asked to sign a declaration if you are appointed: I have completed Parts A to D of this application form and the details I have supplied are, to the best of my knowledge, true and complete; I understand that if appointed to this post the information on this form will be kept as part of my personal file record; I authorise you to obtain references to support this application if I am identified as a preferred candidate; I understand that details of educational qualifications, membership of professional bodies and referee reports may be verified through the establishments and individuals I have indicated; I consent to my details being kept confidentially and used for specific and lawful purposes as specified in the Data Protection Act 1998; I declare that I have no previous convictions, or have identified any I have above.
18020053FP.docx