Register

To feature on the Register costs £25.
To proceed, please fill in the form below.
Once the form is completed you will be redirected to Paypal to take payment.

Title *

First Name *

Last Name *

Address *

Post Code *

Telephone * (eg 01624123456 or 07624123456)

Employer

Email Address *

Date of Birth *

National Insurance Number *

Health and Safety Qualifications

Card Type *

Please click here to read the Registration criteria.

Evidence of Qualifications *

_{Upload evidence of qualifications or copy of your previous card}
_{To add multiple files please press and hold the Ctrl key and click each of the files you wish to upload}

Photograph *

_{Please upload a passport sized photo as per example (click this link to photo guidance)}

Photograph ID *

_{Upload photographic ID (valid passport or driving licence)}

Confirmation of Address

_{Upload utilities, bank statement or official document (dated within 6 months of application)}
_{To add multiple files please press and hold the Ctrl key and click each of the files you wish to upload}

Health and Safety Certificates

_{Upload copies of health and safety certificates}
_{To add multiple files please press and hold the Ctrl key and click each of the files you wish to upload}

Health and Safety Certificate Expiration Date (if known)

Any Other Information

_{To add multiple files please press and hold the Ctrl key and click each of the files you wish to upload}

Accept Terms and Conditions * (Please click here to view)

I declare that the information given is true and accurate. *

I understand that if my application is accepted, my details will be entered onto the Register and will be available to the public.

I understand that the registration period will expire two years after the date of entry onto the Register.

Date: 21/11/2024

Next you will be redirected to Paypal to take payment of the £25 fee. You can either pay with a card or login with a Paypal account (you don't need a Paypal account to pay the fee)