4. An applicant shall supply in writing information as to whether he, or where the applicant is a body corporate, any of its directors or its superintendents—
(a)has any criminal convictions in the United Kingdom;
(b)has been bound over following a criminal conviction in the United Kingdom;
(c)has accepted a police caution in the United Kingdom;
(d)has, in summary proceedings in Scotland in respect of an offence, been the subject of an order discharging him absolutely (without proceeding to conviction);
(e)has accepted a conditional offer under section 302 of the Criminal Procedure (Scotland) Act 1995 (fixed penalty: conditional offer by procurator fiscal) or agreed to pay a penalty under section 115A of the Social Security Administration Act 1992 (penalty as alternative to prosecution);
(f)has been convicted elsewhere of an offence, or what would constitute a criminal offence if committed in England and Wales;
(g)is currently the subject of any proceedings which might lead to such a conviction, which have not yet been notified to the Primary Care Trust;
(h)has been subject to any investigation into his professional conduct by any licensing, regulatory or other body, where the outcome was adverse;
(i)is currently subject to any investigation into his professional conduct by any licensing, regulatory or other body;
(j)is, or has been where the outcome was adverse, the subject of any investigation into his professional conduct in respect of any current or previous employment;
(k)is the subject of any investigation by another Primary Care Trust or equivalent body, which might lead to his removal from any list or equivalent list;
(l)is to his knowledge, or has been where the outcome was adverse, the subject of any investigation by the National Health Service Counter Fraud and Security Management Service in relation to fraud;
(m)has been removed or contingently removed from, refused admission to, or conditionally included in, any list or equivalent list kept by another Primary Care Trust or equivalent body, or has been or is currently suspended from such a list, on fitness to practise grounds, and if so, why and the name of that Primary Care Trust or equivalent body; or
(n)is, or ever has been, subject to a national disqualification,
and, if so, the applicant shall give details including approximate dates, or where any investigation or proceedings were or are to be brought, the nature of that investigation or proceedings, and any outcome.