Continued:

[10.

Previous Service with HM Government.

SUBJECT

SPOUSE

11.

Have you ever been the subject of proceedings in a court of law which have NOT resulted in your aquittal?

Answer YES or NO

If yes give details.

STAFF IN CONFIDENCE

OCCUPATION

FROM

ΤΟ

I certify that the foregoing information is correct and complete to the best of my knowledge and belief. I am not aware of any circumstances which might cause my employment to be questioned. I understand that any false statement or omission may render me liable to action which may include. dismissal.

SIGNED

DATE

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