Mexico

APPLICATION FORM
Overseas Criminal Record Check
MEXICO
Mexico
Overseas Criminal Record Check Application Form
Guidance Notes
This application form captures the data required by GB Group Plc, in order to process an
overseas criminal check in Mexico.
Before you start, please read all the information below to help ensure you
complete this simple form, accurately.
Information Required:
Please ensure all fields are complete and the full application has been
completed by the applicant. Information required includes:
o Your personal details, such as full name and date of birth
o Your current address and previous address history for the past 10 years
o Your Mexican ID Number
o Signed consent form
Please follow these steps and complete the following application form.
To confirm you give your consent – please ensure you sign and date the
Release of Information form attached in Section 4 of the application form.
Without your signature and date as proof of consent the application cannot be
processed
Registered Office: GB Group plc. Registered in England 2415211. VAT Number 539 7162 18
The Foundation, Herons Way, Chester Business Park, Chester, CH4 9GB
© GB Group plc| KnowYourPeople
Page 1 of 5
Mexico
KnowYourPeople Application Form
The Application Form
This form can either be completed electronically or printed out and filled in with black or blue ink.
You must ensure to provide a wet signature in order to give your consent.
Section 1 – Personal
Full Name:
(First, middle, last)
Date of Birth:
DD/MM/YYYY
Section 2 – Address Details
Please supply your current address and previous address history for the past 10 years. It is important
that you do not leave any gaps between addresses. Your application cannot be processed without this
information.
Current Address
Building Name:
House/Flat Number:
Street:
City/Town:
Postcode/Zip code:
Country:
Date of Residence from: MM/YYYY
Registered Office: GB Group plc. Registered in England 2415211. VAT Number 539 7162 18
The Foundation, Herons Way, Chester Business Park, Chester, CH4 9GB
© GB Group plc| KnowYourPeople
Page 2 of 5
Until: MM/YYYY
Mexico
Previous Address # 1
Building Name:
House/Flat Number:
Street:
City/Town:
Postcode/Zip code:
Country:
Date of Residence from: MM/YYYY
Until: MM/YYYY
Previous Address # 2
Building Name:
House/Flat Number:
Street:
City/Town:
Postcode/Zip code:
Country:
Date of Residence from: MM/YYYY
Until: MM/YYYY
Previous Address # 3
Building Name:
House/Flat Number:
Street:
City/Town:
Postcode/Zip code:
Country:
Date of Residence from: MM/YYYY
Registered Office: GB Group plc. Registered in England 2415211. VAT Number 539 7162 18
The Foundation, Herons Way, Chester Business Park, Chester, CH4 9GB
© GB Group plc| KnowYourPeople
Page 3 of 5
Until: MM/YYYY
Mexico
Previous Address # 4
Building Name:
House/Flat Number:
Street:
City/Town:
Postcode/Zip code:
Country:
Date of Residence from: MM/YYYY
Until: MM/YYYY
Previous Address # 5
Building Name:
House/Flat Number:
Street:
City/Town:
Postcode/Zip code:
Country:
Date of Residence from: MM/YYYY
Until: MM/YYYY
Previous Address # 6
Building Name:
House/Flat Number:
Street:
City/Town:
Postcode/Zip code:
Country:
Date of Residence from: MM/YYYY
Until: MM/YYYY
* If more space is required to provide your full 10 year address history, please use a blank piece of paper
and send, or scan this together with the signed application form.
Registered Office: GB Group plc. Registered in England 2415211. VAT Number 539 7162 18
The Foundation, Herons Way, Chester Business Park, Chester, CH4 9GB
© GB Group plc| KnowYourPeople
Page 4 of 5
Mexico
Section 3 – Identification Details to support the application
Please provide ALL details of any documents you possess.
Mexican ID Number:
Section 4 – Applicant/Employee Notification / Release of Information
The purpose of this form is to explicitly inform you and to obtain your prescribed consent to release to GBG and RISQ
Group, incorporating AIM Screening, (“the Group”), agents of our company, the personal information provided by you to
our Company or information about you collected and compiled by our company (the “Information”) in the course of or in
relation to the application for this Check.
The Information will be released to “the Group” and/or its agents to conduct searches on your background information,
which may include civil and criminal records, local language media information, as requested by our company (the “Collected
Information”). You hereby authorize our company through “the Group” and/or its agents, as well as “the Group” explicitly,
to contact various government agencies and courts and other contributors (the “Contributors”) as a relevant party acting on
your behalf for the purposes of obtaining the Collected Information. This letter releases the Contributors from any liability
and responsibility for releasing the Collected Information to our Company or “the Group”. “The Group” and/its agent may
release the Information and this consent letter to the Contributors and such other persons as may necessary for the purposes
of performing such searches.
“The Group” will furnish to the customer a report containing the Collected Information (the “Report”). The Report shall be
the property of our company. Any request for a copy of the Report or details of the Collected Information contained therein
shall be made to “the Group” in the first 60 days after signing this letter or after that period, directly to our company in
writing.
In signing this letter, you confirm that your consent is given voluntarily and shall remain valid and effective until and unless
it is withdrawn by you with prior written notice. We acknowledge that “the Group” (and its agents) in collecting, holding,
processing and using the Information, the Collected Information and such other related information and documents that
may contain your personal data solely on behalf of us and does not hold, process or use this information for any of its own
purposes.
Release of Information
I confirm that I have read the above Statement of Applicant/Employee Notification / Release of
Information and give my consent by providing wet signature:
Print Name:
Applicant
Signature:
Date:
PLEASE RETURN THIS FULLY COMPLETED APPLICATION FORM BACK TO YOUR EMPLOYER
Registered Office: GB Group plc. Registered in England 2415211. VAT Number 539 7162 18
The Foundation, Herons Way, Chester Business Park, Chester, CH4 9GB
© GB Group plc| KnowYourPeople
Page 5 of 5