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 https://mmaireland.ie/garda-vetting/

Club Name *

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

Club Head Coach/Manager Name *

Required for ID verification

Club Head Coach/Manager Phone Number *

Club Head Coach/Manager Email *

Forename *

Middle Name(s)

Last Name *

Address *

Eircode

Phone Number *

Email *

Confirm Email

Date of Birth *

Have you ever lived in the UK or in another EU country (outside of Ireland)? *

Role being vetted for *

e.g. assistant coach, children's coach

Important information

Please ensure that you retain the completed NVB1 form. Following the completion of online verification, you will be required to send the original signed form to the IMMAA Vetting Officer. A confirmation email will be issued once your online documentation has been successfully verified.

The Form will only be accepted if completed in ball point pen . Please upload a photograph of the completed NVB1 form *

Drag & Drop Files, Choose Files 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 *

Drag & Drop Files, Choose Files 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 *

Drag & Drop Files, Choose Files 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. (Mobile phone bills and Revolut Bank are not acceptable)

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 *

Clear Signature

Please tick box *

Garda Vetting fee - 15,00 €

Total

0,00 €

Stripe Credit Card *

Card

Name on Card