COMPANY IN CONFIDENCE (PERSONAL) (when completed)

Handling Instruction: Vetting in Confidence

Pre-Recruitment / Security Vetting Supplementary Nationality Questions

Due to national security requirements all prospective MASS employees are asked to provide additional nationality
information regarding themselves and their family members. E.g., if you have adoptive / foster or step relatives please
append those details to the ‘additional relationship’ area below, identified accordingly. Names of the afore mentioned
family members are not required at this stage of the process.
This personal identifiable information will only be retained by the MASS Company Security Vetting Officer in a secure
facility until such times as it is no longer deemed necessary / 12 months after an employee has left the Company
(whichever is soonest), then it will be deleted.

Candidate’s (Full Name) Country of Nationality Dual / Additional Nationalities

Birth
Date From / To (MM/YY) Date From / To (MM/YY)

Are you a naturalised British Citizen? (Please tick appropriate box) Yes No

If ‘Yes’, please provide certificate Number and date Certificate Number Date

Relationship Country of Nationality Dual / Additional Nationalities

Birth
Date From / To (MM/YY) Date From / To (MM/YY)

Spouse / Partner

Mother

Father

Maternal Grandmother

Maternal Grandfather

CI 1291 v1.0
 COMPANY IN CONFIDENCE (PERSONAL) (when completed)

Handling Instruction: Vetting in Confidence

Relationship Country of Nationality Dual / Additional Nationalities

(continued) Birth
Date From / To (MM/YY) Date From / To (MM/YY)

Paternal Grandmother

Paternal Grandfather

Additional Relationships (Adoptive / Foster / Stepparents etc.)

Signed: Date:

CI 1291 v1.0