A simplified guide to

THE COMPLETION OF THE “EXISTING PVG SCHEME MEMBER APPLICATION” FORM

Part A – Type of application

A1 / Select “Scheme Record Update” and put an X in the box
A2 / Select “Children” and put an X in the box
A3 / Mark an X in the appropriate box
A4 / Select “No” and put an X in the box

Part B – Personal Details

B1 / Enter your PVG Scheme membership number. This is a 16 digitnumber starting with ‘1’. If you have forgotten this number, please call Disclosure Scotland on 03000 2000 40.
B2 / Your title – put an X in the appropriate box
B3 / Insert your surname
B4 / Insert forename/s (PLEASE INCLUDE ALL MIDDLE NAMES)
B6 / Insert your date of birth
B7 / Mark the appropriate box. If ‘yes’ please provide details on a separate sheet of paper (e.g. change of address, name, gender)
B8 / If you are registered with any REGULATORY BODY (e.g. with the Care Commission; any of the General Medical, Dental, Optical or Osteopathic Councils; with the General Teaching Councils for Scotland; with the Health Professions or Nursing and Midwifery Council…etc) you should put an X in the “YES” box
B9 - B12 / If ‘Yes’ you should then insert the regulatory body code and registration number as directed; refer to the set of “Guidance Notes” which can be obtained from your Child Protection Officer, or from the Central Registered Body in Scotland’s website directly – – under “Information Resource/Document Resource”

Part C – Declaration

C1-C2 / Please ensure that you SIGN in the “Applicant’s Signature” square, and alsodate your application

Part D – Payment

D1 / Insert an X in the YES box
D2 / Leave clear
D3 / Leave clear

Part E – Countersignatory Details and Declaration

E1 / Select “No” and put an X in the box
E2 / Please insert the name of your CLUB
E4 / “Youth Rugby Coach” is the recognised role to be inserted here if you are being disclosed for coaching; otherwise, please refer to your Child Protection Officer who has a list of all agreed role names with the Central Registered Body in Scotland; ONLY these recognised descriptions are to be used (e.g. CPO, parent helper, first aider)

Confirmation of Identity

E6 / Your Child Protection Officer will complete this section, indicating what ID and proof of current address documentation he/she has seen of yours

The remainder of the Existing PVG Scheme Member Application form should be left blank for the Central Registered Body in Scotland to complete

Kathleen Munroe

Legal & Governance Administrator

T: 0131 346 5102 (direct)

E: