DepartmentNurses
TitleMr
NameMidhun George
Date of Birth30/03/1999
GenderMale
Ni NumberTL078247D
Address History (Must date back 5 years)40 Morfa Street
Bridgend
Bridgend, Bridgend CF311HD
United Kingdom
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Date from (Address 1)17/03/2023
Date to (Address 1)31/01/2024
Address 231 Brook Street
Bridgend
Bridgend, Bridgend Cf311hg
United Kingdom
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Date from (Address 2)01/10/2022
Date to (Address 2)18/03/2023
Address 3Staff residences, princess of wales hospital
Princess of wales hospital, Bridgend
Coity road, Bridgend Cf311RQ
United Kingdom
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Date from (Address 3)26/07/2022
Date to (Address 3)01/10/2022
Additional Addresses

THAYENKERI HOUSE
THURUTHUKARA
KIZHKKAMBALAM PO
ERNAKULAM
KERALA
684562
INDIA

Place of BirthPAZHANGANAD
CountryINDIA
NationalityINDIA
Nationality at birthINDIAN
Surname at birthGEORGE
Used until31/01/2024
Do you have any spent or unspent convictions?No
HTML BlockWe need 3 forms of ID before we can apply for your CRB. We must have 1 from Group 1 and 2 from group 2 - Please note we MUST have addressed ID! (All utility bills and Statements must be addressed to your current address)

Group 1

Valid Passport (any nationality)
UK Driving License (photo card only valid if paper part present)


Group 2

UK P45/P60 Statement (issued within last the last 12 months)
Bank or Building Society Statement (issued within the last 3 months)
Credit Card Statement (issued within the last 3 months)
UK Mortgage Statement from a recognised lender
Local council rent card or tenancy agreement (issued within the last 3 months)
Utility Bill - electric, gas, water, telephone - must be a landline bill (issued within the last 3 months), we can accept more than one utility bill as long as they are from different suppliers)
Council Tax Statement (issued within the last 12 months)
Benefit Statement, book or card; or original letter from the Department of Work and Pensions (DWP) confirming the rights to benefit – i.e child allowance, pension (issued within the last 12 months)
Confirmation from an electoral register search that a person of that name lives at claimed address (issued within the last 12 months)

Name Changes

If you have declared that you have had name changes you must provide us with evidence of this:

Marriage certificate or Civil partnership certificate Birth certificate
Adoption certificate
Divorce, dissolution or annulment papers
File
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Disclosure Check Consent

Consent I confirm
Signature
Date31/01/2024