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I declare that to the best of my knowledge and belief the information given by me in this application is true, and I understand that the above information forms the basis of my engagement with Keyline Solutions Limited. I understand that if any of the information supplied by me is found to be falsely declared any offer of work will be withdrawn immediately.

I understand that I may not be offered work until a satisfactory response has been received with respect to my DBS Register status, and that should I subsequently be offered work, that offer will be subject to receipt of two satisfactory references, one of which must be from my previous employer, and that confirmation of the employment will be subject to a satisfactory criminal record check from the DBS.

I understand that until a satisfactory response is received from the DBS, I will be supervised at all times at work, and will not seek or have unsupervised access to vulnerable people. If the post I have applied for is as a Registered Nurse, any offer of work will also be subject to a satisfactory search of the Nursing and Midwifery Council records and registers. By my signature, I authorise KEYLINE SOLUTIONS LIMITED to request a DBS Register check and a criminal records check from the DBS, on initial engagement and at any time during my engagement thereafter. I undertake to inform my Keyline Solutions Limited immediately if my DBS Register status or criminal status changes at any time during my engagement, such as by being charged with an offence, the administering of a warning, criminal conviction, referral to any register of barred Care workers, or withdrawal of any registration required by my employment status.