IMMAA Garda Vetting Application

Do you have an up to date individual IMMAA membership? *

*An up to date individual IMMAA membership is required for any IMMAA opportunities/services including garda vetting You can purchase yours at www.IMMAA.ie

Club Name *

Must be an IMMAA affiliated club. A full list of IMMAA affiliated clubs can be found on www.IMMAA.ie

Forename *

Middle Name(s)

Last Name *

Address *

Eircode

Phone Number *

Email *

Date of Birth *

Role being vetted for *

e.g. assistant coach, children's coach

Please upload a photograph of the completed NVB1 form *

Click or drag a file to this area to upload.

The NVB1 form can be found at https://mmaireland.ie/garda-vetting/

Please upload a clear photograph of your ID in the form of either a passport or drivers license *

Click or drag a file to this area to upload.

Only a valid passport or drivers license will be accepted as identification.

Please upload a photograph of Proof of address in the form of a bank statement or utilities bill *

Click or drag a file to this area to upload.

Only a bank statement or utilities bill will be accepted as proof of address. It must clearly state your name and address and be dated within 6 months with the date clearly visible

I consent to the making of this application and to the disclosure of information by the National Vetting Bureau to the Liaison Person pursuant to Section 13(4)(e) National Vetting Bureau (Children and Vulnerable Persons) Acts 2012 to 2016. Please tick box *

I consent

Signature *

Please tick box *

Garda Vetting fee - 15,00 €

Total

0,00 €

Stripe Credit Card *

Card

Name on Card