The University of Nottingham
School of Biosciences
Master of Nutrition Students and Disclosure & Barring Service
The University has a responsibility to ensure that students recruited onto the
Master of Nutrition Course are eligible for Registration with the HCPC as a
Dietitian. This includes ensuring that applicants do not have a criminal conviction
that precludes them from the Register. Included in this pack is a Criminal
Conviction Questionnaire listing the type of convictions that might preclude you
from the Register. It is important to recognise that a criminal conviction or
caution is not in itself an automatic bar to enrolment, but failure to disclose could
be, and may result in expulsion from the course. If you do not have any such
convictions please sign and return the questionnaire to the School Office when
you arrive at the University. If you do have convictions or have any queries
regarding convictions please contact the University (for contact details see later).
The University will have to confirm the information supplied by you by making an
application for disclosure of any information relating to criminal records to the
Disclosure and Barring Service (DBS).
In order for you to be in a position to complete the disclosure form, which we will
give you on arrival, please make sure that you bring the following original
documentation with you:
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Passport
Driving Licence
Birth Certificate
Marriage Certificate (if appropriate)
Bank/Building Society Statement
Evidence confirming any previous address you may have held within the
last five years. This may comprise Bank/Building Society Statement,
Credit Card Statement, utilities bill etc.
P45 or P60 showing your National Insurance number.
You must either provide 3 documents (one from Group 1 plus any two
from Groups 1 or 2)(one of which must verify current address); or 3
documents from Group 2 comprising 1 from Group 2a and 2 further
documents from Group 2a or 2b (one of which must verify current
address) on the list of valid documents below.
These documents will be retained by the School Office (Linda Eaves) at the School
of Biosciences whilst the information that you have supplied on the form is
verified. This will normally only take a couple of days. You may collect your
original documentation from Linda once your form has been checked and
despatched to the DBS, or you may leave it in our safekeeping until the disclosure
application has been processed by the DBS. The University will pay for the
disclosure to be carried out.
If you wish to know more about the disclosure process, or how to deal with the
application form, please see: http://www.disclosure.gov.uk/ .
Valid Identify Documents
Route 1:
1 document from Group 1 and 2 further documents from Group 1 or 2, one of
which must verify current address.
If you cannot produce a Group 1 document the following Route will apply:
Group 1 – Primary Trusted Identity Credentials
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Current valid Passport – UK or EEA (or Non-EEA with a Biometric Residence
Permit or current Work Permit/Visa)
Biometric Residence Permit (UK)
Current Driving Licence (UK) (Full or provisional) Isle of Man/Channel Islands:
o Photo card only (a photo card is only valid if the individual presents it
with the associated counterpart licence: except Jersey)
Birth Certificate (UK & Chanell Islands) – issued within 12 months of date of
birth
o Full or short form acceptable including those issued by UK authorities
overseas, such as Embassies, High Commissions and HM Forces
. You need to provide originalYes No
Route 2:
3 documents from Group 2 comprising of:
1 document from Group 2a and 2 further documents from Group 2a or 2b, one of
which must verify current address
Please note: For applicants unable to produce a Group 1 document, the
University will need to ensure an external ID validation service is used to check
the applicant against their records to establish the applicant’s name and living
history footprint.
Group 2a – Trusted Government/State Issued Documents
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Current valid Passport (UK, EEA or Non-EEA)
Current UK Driving licence (Photocard or old style paper version)
Biometric Residence Permit (UK)
Birth Certificate (UK & Channel Islands) – issued within 12 months of date of
birth
Certified copy of Birth Certificate (UK and Channel Islands) – issued after 12
months of date of birth
Marriage/Civil Partnership Certificate (UK)
Adoption Certificate (UK)
HM Forces ID Card (UK)
Fire Arms Licence (UK)
Group 2b – Financial/Social History Documents
Mortgage Statement (UK)**
Bank/Building Society Statement (UK)*
Credit Card Statement (UK)*
Financial Statement** e.g. pension, endowment, ISA (UK)
P45/P60 Statement** (UK & Channel Islands)
Council Tax Statement (UK & Channel Islands)**
Work Permit/Visa (UK) (UK Residence Permit)**
Utility Bill (UK)* - Not Mobile Telephone
Benefit Statement* - e.g. Child Allowance, Pension
A document from Central/Local Government/Government Agency/Local Authority
giving entitlement (UK & Channel Islands)* - e.g. from the Department for Work
and Pensions, the Employment Service, Customs & Revenue, Job Centre, Job
Centre Plus, Social Security
EU National ID Card
Cards carrying the PASS accreditation logo (UK)
Please note:
If a document in the List of Valid Identity Documents is:
 denoted with * it should be less than 3 months old
 denoted with ** it should be issued within the past 12 months
 not denoted – it can be more than 12 months oldPlease
Criminal Conviction Questionnaire
On the successful completion of the Master of Nutrition Course, to become a Registered
Dietitian you need to register with the Health Professions Council (HCPC). Registrants with the
HCPC are specifically exempt from the Rehabilitation of Offenders Act 1974 and no Convictions
or Police Cautions are ever "spent" for them. Thus, it is in your interest to declare any such
incident and we will seek further advice as to whether you are likely to be precluded from
registration.
Have you ever been convicted of any of the following
major criminal offences?
Violence and other serious offences against the person
Child abuse
Rape, sexual abuse, sexual assault, sexual offences
Pornographic offences
Dealing in or supplying controlled drugs
Drink driving offences resulting in injury or death of another
Theft including fraud
Any major criminal offence which attracted a custodial sentence
Have you ever been convicted or cautioned for any of the
following minor criminal offences?
Drug-related offences
Drink-related offences
Evidence of lack of honesty or trustworthiness e.g. theft, petty
theft, shoplifting
Have you ever been the subject of a prosecution for
misuse of a state registered title or falsely attempted to
obtain entry onto a State Register?
If the answer to any of the questions above is yes then please contact Lisa Pattison
(0115 951 6123, lisa.pattison@nottingham.ac.uk) for further advice.
If the answer to all of these questions is no then please sign the declaration below and return
this whole sheet to Lisa Pattison in the Nutritional Sciences Divisional Office.
Declaration
I certify that I have never received any convictions or cautions for any of the offences listed
above.
I agree to inform the University should I receive any convictions or cautions for any of the
offences listed above during the period I am registered for the degree course.
I understand that failure to disclose any such convictions may result in expulsion from the
University.
Signature ..............................................................
Name:
................................................................Date:..............................
Also:
i)
ii)
I do/will subscribe to the on-line update service offered by the
DBS
YES/NO
I give my on-going consent for the University to undertake a
Status Check on my DBS Certificate at any time it is required
YES/NO