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More than three penalty points were imposed)? A conviction which is treated as spent under the provisions of the Island s Rehabilitation of Offenders Act 2001, need not be disclosed in answer to this question. If in doubt refer to section 25, page 5 in the guidance notes. Yes No (all criminal convictions must be disclosed) 3 If YES: Which of your family committed the offence: What was the offence? D When did it occur? D M M Y Y Y Y Where did it occur? What was the penalty?.

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