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Gov.uk/government/publications/dbs-filtering-guidance November 2013 Based on CCPAS form used with permission. DECLARATION OF CRIMINAL HISTORY Do you have any convictions cautions reprimands or final warnings that are not protected as defined by the rehabilitation of offenders Act 1974 Exceptions Order 1975 as amended in 2013 by SI 2013 1198 Yes No Please tick investigation/pending prosecution If yes please give details including the nature of the offences and the dates. Have you ever been...

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