Paragraph 5
If the applicant (and where the applicant is a body corporate, any director or superintendent of the applicant) is, has in the preceding six months been, or was at the time of the originating events, a director or superintendent of a body corporate, he shall in addition supply information in writing to the Primary Care Trust as to whether the body corporate—
has any criminal convictions in the United Kingdom;
has been convicted elsewhere of an offence, or what would constitute a criminal offence if committed in England and Wales;
is currently the subject of any proceedings which might lead to such a conviction, which have not yet been notified to the Primary Care Trust;
has been subject to any investigation into its provision of professional services by any licensing, regulatory or other body, where the outcome was adverse;
is currently subject to any investigation into its provision of professional services by any licensing, regulatory or other body;
is the subject of any investigation by another Primary Care Trust or equivalent body, which might lead to its removal from any list or equivalent list;
is, or has been where the outcome was adverse, the subject of any investigation by the National Health Service Counter Fraud and Security Management Service in relation to fraud;
has been removed or contingently removed from, refused admission to, or conditionally included in, any list or equivalent list, or has been or is currently suspended from such a list, on fitness to practise grounds; or
is, or ever has been, subject to a national disqualification,
and if so, the applicant shall give the name and address of the registered office of the body corporate and details, including approximate dates, of where any investigation or proceedings were or are to be brought, the nature of that investigation or proceedings, and any outcome.