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Garda_Vetting_Application_Form_English
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                                   An Garda Síochána

Garda Vetting APPLICATION Form

NOTE TO APPLICANT

  • This from may only be used by members of the Gaelic Athletic Association
  • The application form must be completed in full using BLOCK CAPITALS

             (Please state N/A if details are not applicable)

  • Writing must be clear and legible
  • Return the completed form to your Local, County or Provincial Vetting Coordinator who will forward it to the GAA in Croke Park
  • Do not send this form to The Garda Central Vetting Unit or to any Garda Station

To be completed by the Applicant

        

SURNAME:

PREVIOUS NAME (if any):

FORENAME:

ALIAS:                          

DATE OF BIRTH:(dd/mm/yy)

PLACE/CITY OF ORIGIN:

HAVE YOU EVER CHANGED YOUR NAME?       Yes                    No

IF YES PLEASE STATE FORMER NAME:

Please state all addresses from year of birth to present date

House

No.

Street

Town

County

Post

Code

Country

Year

From

Year

To

Please Continue Overleaf

Have you ever been convicted of an offence in the Republic of Ireland or elsewhere?

No                 Yes                  Please provide details 

DATE

COURT

OFFENCE

COURT OUTCOME

DECLARATION OF APPLICANT

I, the undersigned who have applied for a position as a ________________________ hereby authorise An Garda Síochána to furnish to GAA a statement that there are no convictions recorded against me in the Republic of Ireland or elsewhere, or a statement of all convictions and / or prosecutions, successful or not, pending or completed, in the State or elsewhere as the case may be.

Signature of Applicant: _______________________________          Date: _________________

                                  (                                                              )

______________________________________________________________________________________________

CLUB: _________________         TEAM: _______________________   ROLE:  _________________________

To be completed by GAA Offices  only 

Authorised Signatory:   _______________________________   (GAA)        

PLEASE PRINT ALSO   (                                                              )

Registration Number:   _________                           Date:    ______________________

 

To be completed by the Garda Central Vetting Unit

According to Garda records there are no previous convictions recorded against the above named applicant:  

OR the attached convictions appear on Garda Records:              

OR the attached prosecutions are pending:  

NOTE: Checks were carried out by this office based on the information supplied.

 The convictions supplied may apply to the subject of your enquiry.

 Please verify information disclosed with the applicant.

Signed: __________________________Member I/C