Application for ARB Licence Renewal - Department of Education
Application for ARB Licence Renewal - Department of Education
Application for ARB Licence Renewal - Department of Education
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4.2.4 Declaration Form<br />
<br />
<br />
<br />
is attached<br />
has been sent under separate cover to the <strong>Education</strong> and Care Unit<br />
has already been provided to the <strong>Education</strong> and Care Unit, and<br />
I have received a letter from the <strong>Education</strong> and Care Unit confirming that I am fit and proper <strong>for</strong> the<br />
role within the service that I specified in the submitted Declaration Form. (Note: If the role has<br />
changed, you will need to submit a new Declaration Form).<br />
I declare that no changes have occurred that may impact on my fitness and propriety assessment <strong>for</strong><br />
that role. (Note: If changes have occurred, you will need to submit a new Declaration Form).<br />
4.2.5<br />
I declare that the above in<strong>for</strong>mation is complete, true and correct to the best <strong>of</strong> my knowledge.<br />
Individual Licensee<br />
__________________________________<br />
Name (please print)<br />
__________________________________<br />
Signature<br />
Date: _____________________________<br />
Go to Section 5<br />
<strong>Application</strong> <strong>for</strong> <strong>ARB</strong> <strong>Licence</strong> <strong>Renewal</strong> – November 2014 Page 15 <strong>of</strong> 20
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