The Criminal Record Declaration Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring customizable and printable samples.
Criminal Record Declaration Form Template UK Editable – PrintableSample
Criminal Record Declaration Form Template UK 1. Applicant Information 2. Position Information 3. Declaration of Criminal Convictions 4. Pending Charges 5. Rehabilitation Status 6. Reference to Previous Declarations 7. Data Protection and Confidentiality 8. Consent Statement 9. Declaration of Truthfulness 10. Signature and Date 11. Witness Information
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Examples
The purpose of this declaration is to obtain information about any criminal convictions or pending charges from the applicant [Name of the Applicant], who is applying for [Position/Role] at [Organization Name].
[Name of the Applicant]
[Date of Birth]
[Address]
[Contact Number]
[Email Address]
I, [Name of the Applicant], hereby declare the following:
1. I have never been convicted of a criminal offense.
2. I have been convicted of the following offenses: [List details of offenses, if applicable, including dates and nature of the offenses].
3. There are no pending charges against me.
I understand that failure to disclose any relevant criminal convictions may result in disqualification from the application process or dismissal from [Organization Name] if discovered afterwards.
I also consent to [Organization Name] carrying out any necessary background checks to verify the information provided in this declaration.
I confirm that the information provided is accurate to the best of my knowledge.
Signed: ________________________
Date: [Date]
This declaration was witnessed by:
[Name of Witness]
[Address of Witness]
[Contact Number of Witness]
Signed: ________________________
Date: [Date]
This declaration is required as part of the recruitment process for [Position/Role] at [Organization Name] to ensure the safety and integrity of the workplace.
[Name of the Applicant]
[Date of Birth]
[Home Address]
[Contact Information]
I, [Name of the Applicant], declare that:
1. I have no criminal convictions.
2. I have the following criminal convictions: [List details if applicable].
3. I allow for checks to be performed related to my criminal history.
I acknowledge that non-disclosure of relevant information may lead to immediate disqualification from the recruitment process or termination of employment if the information is uncovered post-hiring.
I agree to cooperate with any checks or investigations deemed necessary by [Organization Name].
I declare that the above information is true and complete.
Signature: _________________________
Date: [Date]
Witnessed by:
[Witness Name]
[Witness Address]
[Witness Contact Number]
Signature: _________________________
Date: [Date]
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