Form Nvb 1 - Vetting Invitation Page 4
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4Canoeing Ireland
Your Ref:
Irish sport HQ
National Sports Campus
Blanchardstown
Dublin 15
Form NVB 1
Vetting Invitation
Section 1 – Personal Information
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):
Middle Name:
Surname:
/
/
Date Of Birth:
D
D
M
M
Y
Y
Y
Y
Email Address:
Contact Number:
Role Being Vetted For:
Current Address:
Line 1:
Line 2:
Line 3:
Line 4:
Line 5:
Eircode/Postcode:
Section 2 – Additional Information
Name Of Organisation:
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
Note: Please return this form to the above named organisation. An invitation to the e-vetting website will then be sent to
your Email address.
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