Your application and supporting documents should be returned to:

Registration Department
General Dental Council
1 Colmore Square
Birmingham B4 6AJ

Registering with the

General Dental Council
Dental professional application and supporting documents
Application EU EEA SWITZERLAND DENTIST
Name Miss Alexandra Laura Stancu
Date of Birth 16/06/1993
Application Reference AS16EUSW282

Supporting documents checklist - certified according to GDC requirements

Certified proof of qualification (not applicable for restoration) Certified passport photograph

Completed character and identity reference Certified proof of identity

if applicable

Proof of name change Translation of documents Return of documents (additional fee applies)

Additional documents (please specify below) Evidence of English language

Declaration
I confirm that the details I have provided online and within this application are true and correct.

I understand that the GDC may contact my character referee and any of the health practitioners whose names have been provided.

I acknowledge that my professional registration will be at risk if I knowingly make any false declarations or provide any false information as
part of this application, or if I act in any way which is incompatible with it. I further acknowledge and accept that should a question as to
whether or not I have acted in accordance with this declaration and undertaking arise; it may be used by the GDC in fitness to practise
proceedings against me.

I will inform the GDC of any future criminal proceedings/police investigations, convictions or cautions and any future health conditions which
arise which affect the safety of patients I treat and/or those I work with, and/or my ability to do my job safely.

I have read and understood the General Dental Council’s Standards, Health self-declaration, Continued Professional Development
and Indemnity guidance and I will adhere to these guidance documents.

Name Miss Alexandra Laura Stancu

Signature Date

Please note if your application is incomplete it will be returned to you.

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Declarations AS16EUSW282
1. Have you been convicted of a criminal offence and/or cautioned (other than a protected conviction or caution) and/or are you
currently the subject of any police investigations which might lead to a conviction or a caution in the UK or any other country?

Note: Dentists and Dental Care Professionals are exempt from the Rehabilitation of Offenders Act 1974. You must therefore tell us about
prosecutions or convictions, including those that might otherwise be considered ‘spent’ under this act.

j Yes
k
l
m
n i No
j
k
l
m
n

2. To the best of your knowledge, have you been or are you currently subject to any proceedings or investigations by a
regulatory or licensing body in the UK or any other country, including student fitness to practise?

j Yes
k
l
m
n i No
j
k
l
m
n

3. Are you a carrier of any infectious disease, blood-borne virus or other transmissible disease or do you have any reason to
believe that any such infectious or transmissible disease may be present?

j Yes
k
l
m
n i No
j
k
l
m
n

4. Do you have any health condition which may affect or has affected the safety of patients you treat and/or those you work
with, and/or your ability to do your job safely?

j Yes
k
l
m
n i No
j
k
l
m
n

Self Declaration
I understand that the GDC may contact my character referee and any health practitioner whose names have been provided. I acknowledge
that my professional registration will be at risk if I knowingly make a false statement in this declaration and undertaking, or if I act in any way
which is incompatible with it. I further acknowledge and accept that should a question as to whether or not I have acted in accordance with
this declaration and undertaking arise; it may be used by the GDC in fitness to practise proceedings against me.

I will advise the GDC of any future criminal proceedings/police investigations, convictions or cautions and any future health conditions which
arise which affect the safety of patients I treat and/or those they work with, and/or my ability to do my job safely.

b
c
d
e
f
g I understand and agree to the declaration above.

Please read the General Dental Council’s standards. (https://www.gdc-uk.org/professionals/standards)

b
c
d
e
f
g I have read and understood the General Dental Council’s standards and I will adhere to this guidance.

Indemnity Declaration
The Dentists Act 1984 includes a legal requirement for registrants to hold appropriate insurance or indemnity cover for practising as such.
For further guidance see Indemnity.

b
c
d
e
f
g I have in place, or will have in place at the point at which I practise in the UK, insurance or indemnity arrangements
appropriate to the areas of my practice.

Making a false declaration to the GDC is a serious issue. If you declare that you have or will have appropriate indemnity in place and this is
found to be false, there is a risk that you may be subject to fitness to practise proceedings or removed from the GDC register.

For further guidance on indemnity requirement please visit our Indemnity webpage.

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Character and identity reference AS16EUSW282

The character reference must be completed by someone who has known the applicant for at least a year and must not be a member of the
applicant’s family. Please see the Guidance Notes provided for further information.

All amendments in this section must be signed by the referee only.

To be completed by the referee

The character referee must also sign the back of the passport photograph. By doing so, they are certifying that the image is a true likeness
of the applicant.

Full name of applicant Miss Alexandra Laura Stancu

Full name of referee

Position held - specify job title

Address

Email

Daytime telephone number

Declaration

I certify that I am not a relative of the applicant, I have known the applicant for at least 12 months and that they are the person they declare
themselves to be. Please tick one of the following boxes.

I am satisfied that to the best of my knowledge, the applicant is of good character and fit for registration; or

The GDC should be aware of the following details of the applicant’s character which might affect their suitability for registration.
(Please continue on a separate sheet if required)

This reference is only valid for 3 months from the date on which it was signed.

Signature Date

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English Language

The Dentists Act 1984 requires the GDC to be satisfied that all applicants have the necessary knowledge of English prior
to entry to our registers.

Please refer to our “Evidence of English language competence: guidance for applicants” document, which can be found
on the GDC’s website www.gdc-uk.org. This sets out how and when we will request evidence or information to
determine whether you have the necessary knowledge of English and the process we will follow.

Please provide with this application recent, objective evidence that you can read, write and interact effectively in English
with patients, relatives and other healthcare professionals in relation to your role as a dental professional.

I confirm that I have read and understood the English language requirements and that I may be asked to provide
evidence following recognition of my qualifications.

Please tick: Yes

Please tick as appropriate the evidence that you are submitting:

International English Language Testing System (IELTS) certificate

A recent primary dental qualification that has been taught and examined in English

A recent pass in a language test for registration with a regulatory authority in a country where the first and native
language is English

Recent experience of practising in a country where the first and native language is English

Other (please provide details in the box below)

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Application Guidance Notes

Please ensure you have read and understood the following guidance before completing an application.
(Advice for applicants and those signing the Character and identity section)
Please note we cannot accept any documents or application forms by fax or email.
To be eligible for registration you will have to demonstrate that you qualify as an "exempt person". There are
different ways an applicant may qualify as an exempt person. These are:
1. Nationals of EEA states (other than UK nationals) and Swiss nationals;
2. UK nationals with enforceable Community rights by virtue of having resided in another relevant European state as a
worker, self-employed person, student or self-sufficient person or (in the case of an EEA state) pursuant to the three
month right to reside under Directive 2004/38/EC; please read the full guidance before completing this application:
https://www.gdc-uk.org/professionals/registration/route-to-reg/exempt-persons.
3. Those who are not nationals of an EEA state or Switzerland and who are:
a) the spouse/civil partner registered under the law of an EEA state of:
i. a non-UK EEA national in the UK as a worker, self-employed person, or self-sufficient
person, or pursuant to the three month right to reside under Directive
2004/38/EC;
ii. a UK national having resided in another relevant European state as a worker, self- employed
person, or self-sufficient person, or (in the case of an EEA state) pursuant to the three month right to
reside under Directive 2004/38/EC;
b) the descendant aged under 21 years, dependent descendant or dependent relative in the ascending line of an
EEA national as defined in (a) (i)-(ii) above, or of their spouse or civil partner or the extended family member
of such a person having been given the right to reside in the UK;
c) the spouse, civil partner of an EEA national in the UK as a student for more than three months or a UK national
having studied for more than three months in another relevant European State, or the dependent child of such
an EEA or UK national or their spouse or partner;
d) a person previously falling into one of the categories in (a)-(c) above who has retained their Community rights
following the death or departure of the EEA national from the UK or following divorce, annulment of marriage or
termination of the civil partnership, under the conditions described in Articles 12 - 13 of Directive 2004/38/EC;
e) the spouse, child under 21 or dependent child of a Swiss national in the UK as an employed worker, a self-
employed person, a student or self-sufficient person.
Rights conferred by this Directive do not extend to a substantive right to have professional qualifications
recognised. If you are entitled to be treated as an exempt person in the UK, you are NOT entitled to automatic
recognition of your qualifications.
Please note we cannot accept any documents or application forms by fax or email. The documents and forms must
be posted and addressed to the Registration Department, General Dental Council, 1 Colmore Square
Birmingham, B4 6AJ.
The Registrar must be satisfied that applicants for registration are fit to practise dentistry before registering them.

Data Protection
Under the General Data Protection Regulation and Data Protection law, the GDC processes personal data, like the
information in your application, because the processing is necessary for the exercise of the GDC’s statutory functions;
and the processing is also in the substantial public interest.

Information about how the GDC will use and share the information you give us, the various rights you have in
connection with any personal data about you that is held by the GDC, and how long we will keep your information for
can be found in the privacy notice on our website here: www.gdc-uk.org/privacy.

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Publication of your personal details

The details that you enter in this section are your registered details. Your name and qualifications will appear in the
Register which will be available to the public on the GDC website. All other details provided in this section will not be
available to the public. Please note the GDC may choose to publish your full address in the future.

The GDC’s register rules and regulations require us to keep a register of the names of everyone who is registered with
us. The registers are public documents and are published on our website. The dentists and DCP registers contain the
names and other information about a registrant the GDC is legally obliged to make public.

Registered addresses are not public information. Please note that the GDC may choose to publish your full registered
address in the future, therefore the GDC recommends that your registered address is either a business or a practice
address. Using your business or practice address will assist, if necessary, with local resolution of complaints.

It is important to note that any formal notices issued by the GDC will be sent to your registered address, therefore you
must have access to correspondence at this address.

Change of address and personal details

Please keep us informed if you change registered address, personal details including your email address. Failure to do
so could lead to important communications and notices, including those relating to the annual fee, CPD and indemnity
not being received, which may result in you being taken off the register. To tell us of a change of address, please log
into eGDC or download a change of address form from www.gdc-uk.org.

Keeping your name on the register

In order to keep your name on the register you are required to pay an annual retention fee (ARF). You will receive
notification from us when this payment is due to your registered address. The details of all fees can be found on
our website at www.gdc-uk.org
We would strongly encourage you to set up a Direct Debit for future payments. If you do not pay the ARF by the
required deadline you could be removed from the GDC register and would be unable to practice as a Dentist in the UK.
You can set up and monitor a Direct Debit instruction online through eGDC at www.eGDC-uk.org. New eGDC users
will need to create an account with the ID Verification number they have been sent.

Character Reference
If you are applying for registration within one year of graduation, the character reference must be provided by the head
of your dental training school or nominee. If you are applying for registration more than one year after graduation, the
character reference can be provided by another professional such as a doctor, a dentist or a lawyer who has known
you for over one year. The character reference cannot be provided by a member of the applicant’s family.

The GDC will only use the information provided by the referee to assess fitness for registration. The person writing the
character reference should include any information about the applicant’s character or health which might raise a
question about the applicant’s suitability for registration. The Registrar will decide whether or not the information is
relevant and whether any further inquiries need to be made.
The same character referee must also sign the back of the passport photograph. By doing so, they are certifying that
the image is a true likeness of you.

Health Self-Declaration
The health self-declaration provided online will be taken into account and assessed through the application process.
Having a health condition will not necessarily mean we will refuse registration.
You should tell us about any relevant condition, whilst not a definitive list, examples of conditions we would expect to
know about are:
▪ uncorrected visual impairment;
▪ the presence of any infectious disease, blood-borne virus (tuberculosis, hepatitis B) or other transmissible
disease;
▪ prescribed medication which substantially impairs the immune response;
▪ psychiatric disease or concerns; or
▪ alcohol or drug related concerns.

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If the registrar is satisfied that you are correctly managing any relevant health condition, by taking steps which will avoid
any risk to patients or colleagues and those steps will ensure you have the ability to perform your job safely, you will not
be refused registration on health grounds.
The registrar may refuse to register someone with a serious impairment (for example, substance abuse or serious
mental illness) where the GDC considers the applicant may have difficultly managing their condition, thus potentially
affecting the safety of patients should they practise. Applicants may reapply should their condition improve.
You must ensure you inform the GDC should the responses provided online change and any condition becomes
present which may impair your fitness to practise, potentially affecting the safety of yourself, your patients or
colleagues.

Self-declaration
As dental professionals are exempt from the UK Rehabilitation of Offenders Act 1974, you must tell us about any
previous or pending prosecutions or convictions, including those considered “spent” under this Act (other than a
protected conviction or caution). Protected convictions and cautions are defined in the Rehabilitation of Offenders Act
1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2013. We also need to know if you have been
the subject of any professional proceedings in the past, or any are being contemplated, by a regulatory or licensing
body in the UK or any other country. You will also need to advise the GDC of any future criminal proceedings/police
investigations, convictions or cautions.
We will treat the information you provide in confidence. We will only use it to assess your fitness for registration and in
the future and will only refuse registration on the basis of this information if we are satisfied about your fitness to
practise and/or good character. If you make a false declaration or statement, we may refuse your application for
registration and/or prosecute you and/or charge you with professional misconduct.

Indemnity
The Dentists Act.1984 includes a legal requirement for registrants to hold insurance or indemnity cover; it is a condition
of registration for all dental professionals to have insurance or indemnity cover. We understand that those who are
not/have not yet registered with the GDC will not yet have insurance or indemnity cover in place.
The declaration on our application form is that you will have indemnity cover in place by the time you start to practise
in the UK. The only types of cover recognised by the GDC are:

▪ Dental defence organisation membership - either your own membership or cover provided by your employer's
membership;
▪ Professional indemnity insurance held by you or your employer; or
▪ NHS/Crown indemnity.
Your insurance or indemnity cover must be appropriate to the areas of your practice. If you are relying on arrangements
made by your employer, you must check the indemnity position with them. All registrants must know the details of their
indemnity cover when they start practising, and be able to provide these to the GDC if asked to do so. The GDC may
request further information regarding your insurance or indemnity cover during your application.
Making a false declaration to the GDC is a serious issue. If you declare that you have or will have appropriate
indemnity in place and this is found to be false, there is a risk that you may be subject to fitness to practise proceedings
or may be removed from the GDC register.
For more information on insurance or indemnity cover please see:
www.gdc-uk.org/professionals/standards/indemnity

Evidence of English language

The Dentists Act 1984 requires the GDC to be satisfied that all applicants have the necessary knowledge of English
prior to entry to our registers.

You must provide evidence of your language competence when you submit your application.

If we do not have sufficient evidence of your knowledge of English based on your initial application, we will recognise
your qualification and write to you informing you of this. We will then ask you to provide evidence that you have the
necessary knowledge of English before we register you.

Please refer to “Evidence of English language competence: guidance for applicants” document, which can be found on
the GDC website (www.gdc-uk.org) for the types of evidence we are likely to accept.

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You must provide recent, objective evidence that you can read, write and interact effectively in English with patients,
relatives and other healthcare professionals in relation to your role as a dental professional. If we are satisfied about
your knowledge of English from your initial application for registration, we will not request further evidence.

Dental professionals qualifying in a country where English is the first and native language will not routinely need to
provide additional evidence about their knowledge of English. If the evidence provided does not meet our requirements
applicants will be required to undertake a language proficiency test.

Identity document
The GDC will only accept certified copies of a current passport or valid European National ID card which has an expiry
date and confirms your nationality.

The identity document that you submit with your application should be a colour photocopy correctly certified. This
document should be an A4 page size and not enlarged.

The image of your identity document should be clear with the certification statement not overlapping any part of the
identity document.

If you are submitting a certified photocopy of your passport it is important that the machine readable zone (MRZ) is clear.

Only one type of identity document should be provided on a single page. If you are submitting two types of identity
documents, these should appear on two separate pages.

Passport photo
You must supply us with a recent passport sized photo that has been certified by your character referee on the back of
the photo.
The requirement for individuals applying for registration or restoration with the GDC to submit a passport photo is aligned
with the UK Government requirements: www.gov.uk/photos-for-passports.*
You must make sure that your passport photo meets these requirements otherwise there may be delays to your application.
Your photo must be professionally printed and 45 millimetres (mm) high by 35mm wide - the standard size used in photo
booths in the UK.

Your photo must be:

• in colour on plain white photographic paper

• taken against a plain cream or light grey background
• taken within the last month
• clear and in focus
• without any tears or creases
• unaltered by computer software
The image of you - from the crown of your head to your chin - must be between 29mm and 34mm high (see example
below).

*Contains public sector information licensed under the Open Government Licence v3.0.

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Other documents required

Please refer to the accompanying guidance information for additional specific documentation required to be submitted.

Important note: any amendments, corrections or alterations made on the application form or supporting documents
must be countersigned. Do not use correction fluid on any part of the application. Applications with amendments which
have not been countersigned or where correction fluid has been used may not be accepted and your application may be
returned to you as a result.

Return of documents
An administration charge of £10 will be added to the registration fee if you wish us to return any documents you have
submitted.

Continuing Professional Development (CPD)

Once registered with the GDC, registrants must undertake continuing professional development (CPD) in 5-yearly
cycles. Further information is available on the GDC website www.gdc-uk.org.

Registration fees
The amount you must pay depends on the date you are successfully accepted to be registered with the GDC. Please
refer to the GDC website www.gdc-uk.org for application fee information.

We will contact you by email if your application has been successful and when your application payment is due to
complete the registration process. You will be required to access www.eGDC-uk.org and make the payment online. We
accept all major credit cards, except American Express.

General
When you have been registered you will receive a certificate of registration.
It is a criminal offence for anyone, other than a registered medical practitioner, to practise dentistry without being
registered with the General Dental Council.
If the Registrar is in any doubt about an application for reasons other than failure to comply with the CPD requirements,
they reserve the right to require you to attend an interview in person at the Council’s offices.

Email
Please ensure that the email address provided is specific to you and is not a shared practice or group address. We may
send important communications to you at this email address.

Application Status
You will receive an email confirming the completion of the online element of the application process. You will be issued
with a link to monitor the progress of your application or re-download your documents. To access this information you
will need to provide details of your date of birth, last name and application reference code.

Should we not receive your completed application within 45 days, we may cancel your application and you may be
requested to undertake the online application process again.

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