Enhanced DBS Certificate Application Form*

Is your DBS registered with the Update Service?

Do you give consent for Team Educate to check (and continue to check when needed) the status of your DBS online, via the DBS update service?

Do you have a DBS in process with another agency?

If you have answered yes to the above, please state what agency your DBS is currently in process with and please provide a tracking number.

Agency:

If you don’t have a valid DBS, you will be required to pay £50 inclusive of all fees. This is broken down into £48.60 to civil and corporate for the DBS inc VAT and £1.40 administration charge payable to Team Educate Ltd.

Tracking Number:

Personal Details for DBS Application:

Title:

First Name:

Surname:

Middle Name (if any):

Town AND county of Birth:

Country of Birth:

Have you ever legally changed your surname by marriage / deed poll / adoption or any other reason?

Surname at Birth:

Date From / To:

Other Surname:

Date From / To:

Other Surname:

Date From / To:

Have you ever legally changed your first name by marriage / deed poll / adoption or any other reason?

Birth First Name:

Date From / To:

Other First Name:

Date From / To:

Other First Name:

Date From / To:

Address history for DBS Application

We require require 5 years’ worth of address history with no gaps.

Current FULL address

From:

To:

Previous address 1:

From:

To:

Previous address 2:

From:

To:

Previous address 3:

From:

To:

Previous address 4:

From:

To:

Previous address 5:

From:

To:

Signature

Clear Signature

I have provided complete and true information in support of the application and I understand that knowingly making a false statement for this purpose is a criminal offence.

DBS Payment Details:

A DBS is £50 and please make the payment to the details below:

Account Name: Team Educate Ltd

Sort code: 60-83-71

Account Number: 27771904

Please put your name as the reference.