DBS Application Form for Completion

If you require an Enhanced DBS check as per the HSS (UK) Safe to Trust Policy and DBS Application Guidelines please complete the below form as fully as possible and submit.

Please select:*
Shakha Name*
Nagar*
Vibhag*
Responsibility (e.g. Shakha Karyawaha)*
Name*
Prefix Forename(s) Surname
Previous Name
(please add if any parts of your name has changed e.g. surname after marriage)
Forename(s) Surname
Date of name change
Date Format: MM slash DD slash YYYY
Date of Birth*
Date Format: DD slash MM slash YYYY
Place of Birth - TOWN/CITY*
Place of Birth - BOROUGH/COUNTY*
(please write N/A if not applicable)
Place of Birth - COUNTRY*
Nationality*
Email*
Phone (either mobile or landline)*
Current Address*
Street Address City County Post Code
Date you moved to this address (Month and Year)*
Previous Addresses and Dates of Residence (month and year)* Please list all addresses within the last 5 years and if not applicable please write N/A in box below
Do you have any convictions, cautions, reprimands or final warnings?*
- Yes
- No
Documents to Upload
Proof of identity*
Please submit copies of two of the following documents as proof of identity (select which documents are attached by checking the box below)
- Passport
- Photo card driving licence
- Original birth certificate (Must be UK issued)
- Residence permit
Upload Documents*
Drop files here or

Accepted file types: jpg, jpeg, pdf, png.
Proof of Address*
Please submit copies of one of the following documents as proof of address with your name listed on the document (select which documents are attached by checking the option):
- Council tax (less than 12 months old)
- Utility bill (gas, electricity, water) (less than 3 months old)
- Bank or credit card statement (less than 3 months old)
Upload Document*
Drop files here or

Accepted file types: jpg, jpeg, pdf, png.
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DBS Application Form for Completion

Documents to Upload