Forename(s):*

  Please provide your first name

Surname:*

  Please provide your surname

Email:*

  Please provide your email

Course applied for:*

  Please tell us what course you applied for

Campus:*

- Please select one - Colchester Campus Southend Campus Loughton Campus   Please provide your campus

Date of birth:*

  Please provide your date of birth

Certificate number:*

  Please provide your certificate number

Certificate issue date:*

  Please provide your certificate's issue date

Certificate type and level, including workforce and barring lists:*

  Please provide your certificate's issue type

Date subscribed to the DBS Update Service:*

  Please provide the date you subscribed to the DBS Update Service

Return Postal Address for DBS Certificate:*

  Please provide your return postal address

Have you lived outside the UK for 6 months or longer within the last 5 years?*

Yes

No

  Please tell us if you lived abroad

Please upload a photo of your DBS certificate (only .jpg, .png or .pdf file types permitted):*

  Please upload a photo of your DBS certificate * Only .jpg, .png or .pdf files permitted

Previous addresses:

Previous addresses, including country and time at this address:

If any of the following statements do not apply, you must undergo a new check with the University.

I give my consent to the DBS Team at the University of Essex to run a status check on my existing Disclosure and Barring Service Certificate.*

I confirm that my existing DBS certificate is the correct level for my course/related-activity and was issued on or after 17 June 2013.*

I confirm that this is the Certificate I have joined the DBS Update Service with, and that I am currently registered with the Service.*

I understand that I must provide the original certificate for verification before I can go out on placement.*

I give my consent to the DBS Team at the University of Essex to share my details with Complete Background Screening (the University’s online DBS provider), which will be used to track and monitor my Update Service subscription and carry out a yearly status check.*