Form Nvb 1 - Diocese Of Ferns Vetting Invitation Form printable pdf download

Form Nvb 1 - Diocese Of Ferns Vetting Invitation Form

Return completed form to:

Form NVB 1

Vetting Administration

Diocese of Ferns

Bishop’s House

PO Box 40

Vetting Invitation Form

Summerhill

Wexford

Co. Wexford

Section 1 – Personal Information (to be completed by Vetting Applicant)

Under Sec 26(b) of the National Vetting Bureau (Children and Vulnerable Persons) Acts 2012 to 2016, it is an offence to

make a false statement for the purpose of obtaining a vetting disclosure.

Forename(s):

Surname:

Date Of Birth:

M M

Y Y Y Y

Email Address of

Parent/Guardian:

(An invitation to the e-vetting website will be sent to you to this email address)

Contact Number

Of Parent/Guardian:

Role Being Vetted For:

Current Address:

Line 1:

Line 2:

Line 3:

Line 4:

Line 5:

I have provided documentation to validate my identity as required and I consent to the making of this application and to

the disclosure of information by the National Vetting Bureau to the Liaison Person pursuant to Section 13(4)(e) National

Vetting Bureau (Children and Vulnerable Persons) Acts 2012 to 2016. Please tick box:

Applicant’s Signature:

Date:

D D M M Y Y Y Y

Section 2 – Confirmation of Organisation (To be completed by Parish/School)

Name of Contact Person:________________________________________________________________________

(Must be Priest/Principal/Chairperson of the Board of Management of School)

Name of Parish/School:________________________________________ _________________________________

Full Address

:___________________________________________________________________________________________

_____________________________________________________Tel No

:______________________________________

Has the applicant provided documentation to validate their identity? (See reverse of page) Please tick box:

Signed:________________________________________________ Date:___________________________________

For all queries please ring vetting office on 053-9174972. All completed forms to be sent to the address at top of page.

Validation of Identity

Form Nvb 1 - Diocese Of Ferns Vetting Invitation Form

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