Paragraph 1 Information about the applicantI1

England and Wales

Where the applicant is an individual—

(a)

the responsible person’s full name, date of birth, current address, telephone number and electronic mail address (if any);

(b)

details of the responsible person’s professional or technical qualifications and experience of carrying on a private dental practice, so far as such qualifications and experience are relevant to providing services for persons to whom services are to be provided at the private dental practice;

(c)

details of the responsible person’s employment history, including the name and address of their present employer and of any previous employers;

(d)

details of any business the responsible person carries on or has carried on;

(e)

details of any other site or sites in respect of which the responsible person carries on or has carried on a private dental practice;

(f)

the names and addresses of two referees—

(i)

who are not relatives of the responsible person;

(ii)

each of whom is able to provide a reference as to the responsible person’s competence to carry on a private dental practice of the same description as the private dental practice; and

(iii)

one of whom has employed the responsible person for a period of at least 3 months,

but the requirement for the name and address of a referee who has employed the responsible person for a period of at least 3 months does not apply where it is impracticable to obtain a reference from a person who fulfils that requirement;

(g)

if the responsible person is a dentist or dental care professional—

(i)

the responsible person’s professional registration number; and

(ii)

details of any conditions imposed on the responsible person’s professional registration or inclusion on a dental performers list;

(h)

if the applicant intends to carry on the private dental practice in partnership with others, the information specified in sub-paragraphs (a) to (g) of this paragraph in relation to each partner of the applicant.

Annotations

Commencement

I1: Sch. 1 para. 1 in force at 1.4.2017, see reg. 1