Guidelines for completing Vetting Invitation Form (NVB 1)
Please read the following guidelines before completing this form.
Miscellaneous
The Form must be completed in full using BLOCK CAPITALS using a black ball
point pen and writing must be clear and legible.
Original forms must be returned. Photocopies/Scans will not be accepted.
If the applicant is under 18 years of age, a completed Parent\Guardian Consent Form
(NVB 3) will also be required in order to process this form.
Your Ref:
Please fill in your UL Programme Code or Programme Name (eg LM030 or BA Irish
Music & Dance) in this box.
Personal Details
Insert details for each field, allowing one character/digit per box.
The Email Address you enter, will be the one to which the full Vetting Application
Form will be sent.
Please supply either your Passport, Driving License (credit card size) or National ID
Card number.
The Current Address means the full address of where you are now living, including the
Eircode/Postcode. No abbreviations.
Tick Yes or No if you have ever lived abroad for more than 6 months since over the age
of 16 years. If yes, please list those countries.
Declaration of Application
The applicant must confirm their understanding and acceptance of the two statements
by signing and dating the application form at Section 2 and ticking the box provided.
Submission of form
Details on submission of this form can be found on attached Cover Letter.
1
RETURN THIS FORM AS
DIRECTED ON COVER
LETTER
Your Ref:
Please fill in the
Programme Code &
Name above: eg LM030
or BA Music & Dance
Vetting Invitation (NVB1)
Section 1 – Personal Information
Under Sec 26(b) of the National Vetting Bureau (Children and Vulnerable Persons) Acts 2012 to 2016, it is an offence
to make a false statement for the purpose of obtaining a vetting disclosure.
Forename(s):
Middle Name:
Surname:
/
M
M
/
Y
Y
Y
Role Being Vetted For: S
T
U
D
E
N
T
Date Of Birth:
D
D
Y
Email Address:
Contact Telephone
Number:
P
L
A
C
E
M
E
N
T
Current Address:
Line 1:
Line 2:
Line 3:
Line 4:
Line 5:
Eircode/
Postcode:
Have you
lived abroad
Yes
No
Countries:
Section 2 – Additional Information
Name Of Organisation:
University of Limerick
I consent to the making of this application and to the disclosure of information by the National Vetting Bureau to the
Liaison Person pursuant to Section 13(4)(e) National Vetting Bureau (Children and Vulnerable Persons) Acts 2012 to
2016.
Applicant’s
Signature:
Date:
2
D
D
/
M M
/
Y
Y
Y
Y