DepartmentDoctors
TitleDr
NameAmy Hannah Lucas
Date of Birth03/01/1992
GenderFemale
Ni NumberPW369678C
Address History (Must date back 5 years)30
Grange Close
Hitchin, Hertfordshire SG4 9HD
United Kingdom
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Date from (Address 1)02/10/2022
Date to (Address 1)31/05/2024
Address 224
Regency Close
Chigwell, Essex IG7 5NY
United Kingdom
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Date from (Address 2)02/09/2021
Date to (Address 2)01/10/2022
Address 33 Wellington Gardens
London Road
Tunbridge Wells, Kent TN4 0PX
United Kingdom
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Date from (Address 3)01/09/2018
Date to (Address 3)01/09/2021
Place of BirthLondon
CountryUnited Kingdom
NationalityBritish
Nationality at birthBritish
Surname at birthLucas
Used until31/05/2024
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
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Disclosure Check Consent

Consent I confirm
Signature
Date31/05/2024