DBS Checks - Basic Application Form

Applicant Details

1Name History > 2Birth Details > 3Address History > 4Identity Documents > 5Payment
OFFICIAL LEGAL TITLE - exactly as it appears on your identity documents
First Name
Middle Name(s) - IF YOU HAVE A MIDDLE NAME / NAMES, YOU MUST ENTER THEM OR YOUR APPLICATION WILL BE VOIDED
Surname
Date of Birth Date of Birth / DD / MM YYYY
Is Your Birth Surname The Same As Your Current Surname?

Is Your Birth Surname The Same As Your Current Surname? Yes No
If No, What Was Your Surname At Birth
Date Of Name Change (If Your Name Has Changed Since Birth) Date Of Name Change (If Your Name Has Changed Since Birth) / DD / MM YYYY
Have You Been Known By Any Other Names?

Have You Been Known By Any Other Names? Yes No
Surname
Forename(s)
Date When You Started Being Known By This Name (approximately) Date When You Started Being Known By This Name (approximately) / DD / MM YYYY
Date When You Stopped Being Known By This Name (approximately) Date When You Stopped Being Known By This Name (approximately) / DD / MM YYYY
Have You Been Known By Any Other Names?

Have You Been Known By Any Other Names? Yes No
Surname
Forename(s)
Date When You Started Being Known By This Name (approximately) Date When You Started Being Known By This Name (approximately) / DD / MM YYYY
Date When You Stopped Being Known By This Name (approximately) Date When You Stopped Being Known By This Name (approximately) / DD / MM YYYY
Gender

Gender Male Female
Do You Have A Driving Licence?

Do You Have A Driving Licence? Yes No
Driving Licence number