Scottish Gymnastics PVG de-link form
This form must be completed when a member of staff/volunteer leaves a regulated role in your club. The details should be for the person leaving the role.
Name of person leaving regulated role
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
E-mail for club safeguarding
*
example@example.com
E-mail of old Individual
*
example@example.com
Disclosure Scotland Membership number
*
this is your membership number and should be 16 digits, this is NOT the individual disclosure number which starts with 3000
Phone Number
*
-
Area Code
Phone Number
Club
*
Role in club
*
SG membership number
*
Today's date
*
-
Month
-
Day
Year
Date
Name of person submitting this form
*
First Name
Last Name
Additional comments
Submit
Should be Empty: