Rule 6(5)

SCHEDULE 1SUBSTITUTION OF SCHEDULE 1 TO THE REGISTRATION AND FEES RULES

Rule 4(1)(a)

SCHEDULE 1Application for admission to a part of the register

The following information shall be provided by an applicant to the Council:

(a)his full name;

(b)his former name (if any);

(c)his date of birth;

(d)his nationality;

(e)his home address;

(f)his work address;

(g)his telephone number;

(h)his e-mail address;

(i)the Part of the Register to which his application relates;

(j)details of his education, training, experience and qualifications in reliance upon which the application is made;

(k)whether he has previously been registered by the Council or another health or social care regulatory body, and if he has, details of such registration;

(l)confirmation that he has not been convicted of, or cautioned for, any criminal offence or, if he has, details of the conviction or caution;

(m)confirmation that he has not been disciplined by another health or social care regulatory body or, if he has, details of the disciplinary action; and

(n)a declaration by the applicant as to his good health and good character..