After paragraph 6 of Part III of Schedule 3 to the principal Regulations (information and undertakings to be given by a practitioner in connection with an application for nomination or approval for a practice vacancy), there shall be inserted–
(6A) Declaration as to whether–
(a) he has been convicted of a criminal offence, bound over or cautioned in the UK or elsewhere, or is currently the subject of any proceedings which might lead to such a conviction, order to bind over or caution;
(b) he has been, or is currently, subject to any action by his professional body or by any licensing or regulatory body in the UK or elsewhere,
and if so, give details, including approximate dates, of where the action or proceedings were or are to be brought, the nature of that action or proceedings, and any outcome.