DBS INFORMATION FORM

IMPORTANT INFORMATION
Title (Mr/Mrs/Miss/Ms): Ms
Surname: Abraham
First Name: Gabriela
Middle Name/s: Florica
Place of Birth (Town/City): Vulcan
Place of Birth (County/Municipality): Hunedoara
Place of Birth (Country): Romania
Nationality at Birth: Romanian
Mother’s Maiden Name: Abraham Floare
Date of Birth: 03.04.1978
UK National Insurance Number (if applicable):
Have you ever been known by another name (YES or NO): Yes
Previous Name/s (if applicable): Barbu
Month & Year of Change/s (if applicable): 28.08.2017
Next of Kin (Name and Relationship to you): Dobre Andelina -Sister
Next of Kin Contact Details (Telephone Number and Email): 0040726119522
Do you have any unspent criminal convictions, cautions,
reprimands or warnings (YES or NO): No
If "YES”, please give details:

CURRENT LIVING ADDRESS

House Number/Name: 11A Street: Principala

Town: Visina City: Visina

Country: Romania Post Code: 237540

MONTH & YEAR you moved IN to your current address: 09.2019

PREVIOUS LIVING ADDRESSES (OVER THE LAST 5-YEARS)

House Number/Name: 30 Street: Gabme Grannesvei

Town: Hafrsfjord City: Hafrsfjord

Country: Norway Post Code: 4044

MONTH & YEAR you moved 07.2015 MONTH & YEAR you moved OUT: 08.2019
IN:
House Number/Name: 40 Street: Dues Vei

Town: Stavanger City: Stavanger

Country: Norway Post Code: 4023

MONTH & YEAR you moved IN: 04.2013 MONTH & YEAR you moved OUT: 07.2015

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PREVIOUS ADDRESSES (OVER THE LAST 5-YEARS) - CONTINUED

Pearls International Recruitment Agency is a trading name of Sky River Recruitment Ltd.
Foliot House, Nursery Close, Tamerton Foliot, Plymouth, Devon PL5 4QG | Tel: 01752 237637 | Fax: 01752 546574 |
Website: www.pearlsrecruitment.com | Registered in England & Wales No 09358770, VAT Registration No 215110469 | PAGE 1 OF 2
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