Dental Indemnity Proposal – Dental Beauty Partners

I confirm that I have not been subject to any complaints, claims (made, brought, or threatened), disciplinary action, investigation, or adverse findings, and I am not aware of any circumstances that may give rise to such matters.

I further confirm that I have not had any conditions, restrictions, suspension, or removal imposed on my registration or licence to practise, nor have I been refused, restricted, or declined cover, membership, or registration by any indemnity provider, defence organisation, or regulatory body.

I also confirm that I have no criminal convictions (other than those considered spent), have not been involved in any privacy breaches, fraud, or dishonesty matters, have not been declared bankrupt or subject to any insolvency proceedings, and am not aware of any circumstances involving myself or others that may give rise to a claim.