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SCOTTISH CHARITY NUMBER : SCO37754

SafeGuarding Form

Alloa Elim Pentecostal Church
Referral Form

Details of Person at Risk


Main Contact Details


Person Details


Details of Person Completing Referral


Details of the person involved in the Allegation


Details of the Allegation


What Now

Following this referral, the information contained within will be sent through to Elim’s National Safeguarding Team. Please print a copy of this form for your own records.


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