RESTRICTED (when completed)
VETTING FORM
BASIC DETAILS OF APPLICANT
Applicant surname (present)
Applicant forename(s) (present)
Name of post applied for
Department where post is based
Is the applicant currently employed by Northamptonshire Police?
RETURN FORM TO
Name E-mail
INSTRUCTIONS TO APPLICANTS
1 The Chief Constable reserves the right to reject any application without giving reasons.
2 By virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975, the provision of the Rehabilitation of
Offenders Act 1974 does not apply to questions on this form relating to previous convictions. The applicant is,
therefore, not entitled to withhold information about a previous conviction, traffic offence, appearance before a
Courts Martial or juvenile caution, on the grounds that it is, for other purposes, spent under that Act.
***Question 3 is mandatory - DO NOT LEAVE BLANK***
3 Has the applicant ever been convicted, cautioned, arrested, charged, appeared before a Courts Martial or received
any Bind-Over Orders, Traffic Offences or Informal Actions? Does the applicant have any impending prosecutions
or any outstanding matters with any police force? If yes please give particulars in the box below.
***Failure to declare any of the above will result in your application being rejected***
4 NB. Disclosures do not automatically bar the applicant from appointment, each case is considered individually.
However, failure to provide information that comes to light at a later date will result in disciplinary action.
5 If appointed the applicant will be required to provide similar information for Counter Terrorist checks.
6 Northamptonshire Police will access information held on the Police National Computer, National and Local
Intelligence Systems, Financial databases and Residency databases to confirm an applicant's suitability for
employment.
APPLICANT DECLARATION
I hereby declare that all the details I have given on this form are true to the best of my knowledge and belief.
Applicant's signature Date
(19/11/2008) Page 1 of 7
RESTRICTED (when completed)
VETTING FORM
APPLICANT'S FINANCIAL POSITION
Unless otherwise stated, these questions should be completed in respect of the last six years.
YES NO Full details (including dates)
Has the applicant had a loan
arrangement terminated by a bank /
building society / finance house / other?
Has the applicant had a credit / charge /
store card withdrawn?
Is the applicant in arrears with any
existing loan / mortgage / hire purchase
agreement?
Has the applicant ever been registered
as bankrupt?
If the applicant has ever been registered
as bankrupt, have the bankruptcy debts
been discharged?*
Has the applicant had any Court action
taken against them for any debt?
Has the applicant been party to a
voluntary agreement registered with the
County Court?
Has a County Court / Tribunal
Judgement been made against the
applicant?
If the applicant has had a County Court /
Tribunal Judgement made against them,
has this now been cleared?*
Has the applicant had repossession
proceedings commenced against them?
Has the applicant consolidated all their
debts with one lender?
* If applicable, please provide a Certificate of Satisfaction as it is needed before the application can be processed.
(19/11/2008) Page 2 of 7
RESTRICTED (when completed)
VETTING FORM
DETAILS OF APPLICANT
Applicant surname (now) (previous)
Other surnames used (aliases)
Applicant forename(s) (now) (previous)
Applicant gender
Applicant nationality (now) (previous)
Applicant date of birth Applicant place of birth
Applicant current address
Applicant current postcode Resided in current address since (date)
Applicant telephone number
Applicant's previous addresses in the UK for the last 5 years
(INCLUDE DATES OF RESIDENCE FOR ALL PREVIOUS ADDRESSES)
If applicant has lived outside of the UK for 3 months or more in the last 3 years, give addresses and dates of residence
(INCLUDE DATES OF RESIDENCE FOR ALL PREVIOUS ADDRESSES)
(19/11/2008) Page 3 of 7
RESTRICTED (when completed)
VETTING FORM
DETAILS OF APPLICANT (CONTINUED...)
Further comments which affect the applicant's vetting status
(19/11/2008) Page 4 of 7
RESTRICTED (when completed)
VETTING FORM
DETAILS OF RELEVANT OTHER PERSONS
Please complete the following details for these types of people only :
* All persons aged 10 or over residing at the applicant's home address - include all family members / lodgers
/ long-term guests / tenants
* All family members of the applicant aged 16 and over residing elsewhere within the UK - Include parents /
guardians / spouse or partners parents / spouse or partners step-parents/ brothers / sisters / children /
step-relatives / adoptive relatives
OTHER RELEVANT PERSON 1 OTHER RELEVANT PERSON 2
Surname (now)
Surname(s) (prev)
Forename(s) (now)
Forename(s) (prev)
Date of birth
Place of birth
Current address
Relationship to applicant
OTHER RELEVANT PERSON 3 OTHER RELEVANT PERSON 4
Surname (now)
Surname(s) (prev)
Forename(s) (now)
Forename(s) (prev)
Date of birth
Place of birth
Current address
Relationship to applicant
(19/11/2008) Page 5 of 7
RESTRICTED (when completed)
VETTING FORM
DETAILS OF RELEVANT OTHER PERSONS
Please complete the following details for these types of people only :
* All persons aged 10 or over residing at the applicant's home address - include all family members / lodgers
/ long-term guests / tenants
* All family members of the applicant aged 16 and over residing elsewhere within the UK - Include parents /
guardians / spouse or partners parents / spouse or partners step-parents/ brothers / sisters / children /
step-relatives / adoptive relatives
OTHER RELEVANT PERSON 5 OTHER RELEVANT PERSON 6
Surname (now)
Surname(s) (prev)
Forename(s) (now)
Forename(s) (prev)
Date of birth
Place of birth
Current address
Relationship to applicant
OTHER RELEVANT PERSON 7 OTHER RELEVANT PERSON 8
Surname (now)
Surname(s) (prev)
Forename(s) (now)
Forename(s) (prev)
Date of birth
Place of birth
Current address
Relationship to applicant
(19/11/2008) Page 6 of 7
RESTRICTED (when completed)
VETTING FORM
DETAILS OF RELEVANT OTHER PERSONS
Please complete the following details for these types of people only :
* All persons aged 10 or over residing at the applicant's home address - include all family members / lodgers
/ long-term guests / tenants
* All family members of the applicant aged 16 and over residing elsewhere within the UK - Include parents /
guardians / spouse or partners parents / spouse or partners step-parents/ brothers / sisters / children /
step-relatives / adoptive relatives
OTHER RELEVANT PERSON 9 OTHER RELEVANT PERSON 10
Surname (now)
Surname(s) (prev)
Forename(s) (now)
Forename(s) (prev)
Date of birth
Place of birth
Current address
Relationship to applicant
OTHER RELEVANT PERSON 11 OTHER RELEVANT PERSON 12
Surname (now)
Surname(s) (prev)
Forename(s) (now)
Forename(s) (prev)
Date of birth
Place of birth
Current address
Relationship to applicant
(19/11/2008) Page 7 of 7
