In confidence

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In confidence ADDITIONAL SECURITY CHECKS CONSENT FORM PLEASE COMPLETE IN BLACK INK AND WRITE CLEARLY IN BLOCK CAPTIALS Please note; This form is only to be used for new applicants or existing Royal Mail Group employees who undertake a role where these checks are mandatory under the terms of the Royal Mail Vetting Policy.

Individual Personal Data and Declaration – To be complete by the person to be security checked. Please note ALL sections are compulsory Title: Mr / Mrs / Miss / Ms (Delete as applicable) First Name: ________________________________________ Previous Surname(s): _______________________________ Date Of Birth (dd/mm/yyyy): _________________________

Surname: ____________________________________________________________________ Middle Name(s): ______________________________________________________________ Previous Forename(s): ________________________________________________________ NI Number: __________________________________________________________________

Current UK Address: Address Line 1: __________________________________________________________________________________________________________________ Address Line 2: _____________________________________________________________________ Post Town: __________________________________ Postcode: _____________________________ Country: _____________________________________ Previous Address: (If period of residence at current address is LESS than 5 YEARS) Address Line 1: __________________________________________________________________________________________________________________ Address Line 2: _____________________________________________________________________ Post Town: __________________________________ Postcode: _____________________________ Country: _____________________________________

I give consent for Royal Mail Group to carry out the following checks: 1: Checks against the Asset Freeze Target List published on the HM Treasury website (Cat 9 checks only). Further information can be found at www.hm-treasury.gov.uk 2: Court Information: a) Bankruptcy b) Individual Voluntary Arrangement c) County Court Judgement(s) Royal Mail Group will use this information to assess individual suitability for employment in line with Royal Mail Group Vetting Policy and industry standards as applicable to this role, and the information my be shared within Royal mail Group. Please note: A record of the search will be retained by the credit reference agencies and may be supplied by them to other organisations if for example you apply for credit in the future. In understand that by giving my consent below. Royal Mail Group has permission to carry out the above check(s) and for those to be audited by a third party that is approved by Royal Mail Group.

Signed: __________________________________________________________________________ Date: __________________________________________

To be completed by the person authorised by Royal Mail Group who witnessed the completion of this form by the individual.

I confirm that I have verified the identification and right to work in the UK of the above person and that the details given above exactly match the details on the application submitted for working in Royal Mail Group, its subsidiaries (including Joint Venture Partners), or for one of its agents or subcontractors, or the above person is an existing Royal Mail group employee.

New Employee / Existing Employee (delete as applicable) Employment with Business Unit: _________________ Business Section: _______________________ Business Sub-section: __________________ Checks required for vetting category number: ________________

Signed: ___________________________________________________________________________ Date: __________________________________________ Signatory (print full name): _________________________________________________________________________________________________________ Telephone Number: __________________________________ Company Name: ______________________________________________________________ Company Address: _________________________________________________________________________________________________________________ (Inc postcode) _________________________________________________________________________________________________________________ For Royal Mail Group Security Vetting Team use only. Voters Roll Check Result

Clear

Fail Dispute 1

Fail Dispute 2

Fail Dispute 3

Dispute 1: The individual’s current address given is shown as untraceable on the Electoral Roll – i.e. unrecognisable address, no main post town given or incorrect postcode. (Please amend to correct address and re-submit to Security Vetting Team). Dispute 2: The individual’s current address is shown as unlisted on the Electoral Roll – i.e a return has not been made to the local authorities (Individual required to contact local authority, ONLY re-submit to Security Vetting Team after receipt of confirmation that a return has been made to the local authority and it has been formerly acknowledged). Dispute 3: The person detailed on this form is not listed at the current address on the Voters Roll within the last 12 months. (Please obtain proof of current address as resolution to clear – no need to re-submit to Security Vetting Team,). Clear Clear

Credit Check Result: B of E Check Result (Cat 9 Only): Date of Check ___________________

Fail Fail

Run By Initials

Cannot Assess N/A Audited By Initials

Royal Mail is an Equal Opportunities Employer.. Royal Mail is a trading name of Royal Mail Group. Registered number 4138203. Registered in England and Wales. Registered office: 100 Victoria Embankment, LONDON, EC4Y 0HQ – RETENTION PERIOD – LIFE OF EMPLOYMENT +7 YEARS Title Version Date issued Review Date Owner Location Stored Additional Security Checks Consent Form (ASCCF)

9

22/07/2013

10/02/2015

Security Vetting STL

QMDL