Name Declaration HiddenDepartment Name(Required) First Last Reg Number(Required) Date of Birth(Required) DD slash MM slash YYYY I can confirm that the following names declared on my DBS are not and never been used as my legal name First Last I can confirm that the following names declared on my DBS are not and never been used as my legal name First Last I can confirm that the following names declared on my DBS are not and never been used as my legal name First Last I can confirm that the following name declared on my proffesional registration/qualification is an error and my legal name is as shown on my Passport First Last Signature(Required)Date(Required) DD slash MM slash YYYY
