This document is a police verification form used to verify the antecedents of an employee. It requests personal details such as name, addresses, dates of birth, education history, employment history, references, and a declaration that the candidate is fit for government employment and unaware of any issues that could impair their fitness. The candidate must sign to certify the information is correct, and a gazetted officer or other authority must also sign to verify they have known the candidate and believe the details provided are accurate.