- By signing the applicant declaration box i confirm that the information that i have provided in support of this application isi complete and true. I will supply AccessNI with any additional information required to verify the information provided in this application. I understand that knowingly to make a false statement in this application is a criminal offence.

- AccessNI may use the information i have supplied on this form to verify my identity and to check this application.

- AccessNI may use the information I have supplied on this form for the purposes of the prevention or detection of crime in accordance with Schedule 2, paragraph 2(1) of the Data Protection Act 2018.

- AccessNI may pass the information i have supplied on this form, and any other information I have supplied in support of this application to other Government Organisations and law enforcement agencies in accordance with Schedule 2, paragraph 2(1) of the Data Protection Act 2018.

Data Protection

Information on this form will be treated in confidence. AccessNI is regisitered with the Information Commissioner. Data supplied by you on this form will be processed in accordance with the provisions of the Data Protection Act 2018.

1. Completing the Form

- Ensure all addresses are completed in full and there are no gaps in the date history.
- If you state you have a passport you must include the passport number.

Access NI will return any incomplete forms so please complete carefully.

2. Agreement

- I understand that an Enhanced Access NI Disclosure costs £33. Should I be successful for the position for which I have applied I understand and agree that the company will initially pay this cost on my behalf and that this fee will be deducted from my first wage.
- I permit the company to complete my e-application on my behalf based on the information I have provided.
- I understand the significance of making a 'Barred List Check application' should I be on a barried list.
- I understand that a check will be made to confirm my identity and ensure i have the right to work in the UK.
- I give my permission to the company to progress with an application that involves a barred list check.
- I understand that as deemed appropriate by the company it may be neccessary for an Enhanced Access NI re-check to be carried out. I give my permission in such circumstances for relevant Enhanced Access NI fee to be deducted from my wages.

Failure to complete this pack correctly may render your job application invalid.

Should you be successful in obtaining a position wiht the company any offer will be subject to receipt of a satisfactory Enhanced Access NI and employment may not commence until the disclosure has been received. You will be required to complete an application for an Enhanced Access NI check if you are invited to interview. All information provided will be kept in the strictest confidence and only be used for the purposes of assessing your suitability for the post you have applied.

The company has a policy on the recruitment of Ex-Offenders which is available on request.

Access NI have a written Code of Practice which can be downloaded via the website: https://www.nidirect.gov.uk/

Please note that the Company under which we process Access NI Disclosure Applications if Domestic Care Domiciliary. This is for administrative purposes only and may not be the Company to which you have applied.

All information provided by Access NI will be treated sensitively and confidentially and will be handled by authorised personnel only.

If you want to know more any why AccessNI uses you data this can be found at: https://www.justice-ni.gov.uk/publications/ani-privacy