DepartmentNurses
TitleMiss
NameQueenie Gok-ong
Date of Birth15/10/1995
GenderFemale
Ni NumberSP642012A
Address History (Must date back 5 years)FLAT 3
20 Talbot Avenue
Bournemouth, Dorset BH3 7HY
United Kingdom
Map It
Date from (Address 1)24/07/2022
Date to (Address 1)14/06/2024
Address 214
Alma Road
Bournemouth, Dorset BH9 1AN
United Kingdom
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Date from (Address 2)01/09/2018
Date to (Address 2)23/07/2022
Place of BirthToldeo City
CountryPhilippines
NationalityBritish
Nationality at birthFilipino
Surname at birthGok-ong
Used until14/06/2024
Previous Names (If applicable you must provide evidence of this – see below)N/A
Reason WhyN/A
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
Date14/06/2024