1. You and your business are registered and domiciled in the United Kingdom.
2. Your business does not and has never taken and work for clients based outside of the United Kingdom.
3. You have never been convicted or charged with any offence, other than motoring offence or conviction spent under the Rehabilitation of Offenders Act 1974.
4. You have never been declared bankrupt or become insolvent or made any voluntary arrangement with creditors or been subject to enforcement of a judgement of debt either in personal capacity or as a business.
5. You are a registered dental professional.
6. You maintain Registration with the GDC and the dental activities fall within the scope of practice as currently defined by the GDC.
7. You have never had your GDC registration suspended or withdrawn or had conditions imposed.
8. You do not employ or contract any other individuals to work for you.
9. You have not had any claim or loss, whether successful or not, has occurred of been made against you or predecessors in business, or any past or present partner, principal, director or employee.
10. You are not aware after reasonable enquiry of any matter, which may lead to a claim against you.
11. You have never had any medical malpractice or professional indemnity insurance policy or proposal cancelled, withdrawn, declined or made subject to special terms.