National Performers Lists Application Form Page 5

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have been working under the supervision of a postgraduate dean without any
break in service may seek their OH clearance certificate from the OH service who
conducted their previous screening. There is a Memorandum of Understanding
for Occupational Health Clearance for UK Dental School graduates applying for
entry onto NHS England’s National Performers List available on the NHS England
website
• Current passport (original) or (where the applicant does not have a passport) an
acceptable photo ID (original) as defined on the DBS website. This must include a
work Permit – (non EEA applicants admitted to UK after April 1985 only)
• A detailed curriculum vitae, including complete work history, with any gaps in
service explained
• An acceptable certificate of communication skills or evidence to support
applicant’s declaration of communication skills as set out in Section 4
• A copy of your most recent appraisal/outcome statement
• Confirmation of your revalidation status (applicants on the GMC register only)
• Evidence of current indemnity at an appropriate level, through membership of a
defence organisation or through insurance.
• Evidence of child protection competence at the level agreed
Please note all official documents must be originals . Photocopies cannot be accepted.
It is the responsibility of the applicant to obtain all information required for the
application.
NPL1 Application Form v2 final
Page 5 of 32

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