RENEWAL Certified Handler Certificate

Certified Handler Retail/Salesperson - Renewal
Please list the Agrichemicals you USE or STORE that require a Certified Handler Certificate? Please note, these Agrichemicals have the toxic classification 6.1A or 6.1B or Category 1 or 2 Acute Toxicity. This is a requirement to issue your Certificate. i.e Paraquat, Formalin, Chlorothalonil
If your answer is NO to handling or storing 6.1A or 6.1B, you may spray with motorised boom or handgun or even a handpump/knapsack sprayer. These machines have requirements for us to use by EPA, please check out our Envirospray options
Envirospray Online Course Options
To receive a Retail and Salesperson Certified Handler Certificate below are the steps required to be completed before gaining a certificate.

1. Fill out Registration Form

2. Payment completed and received

3. Course Assessment Link will be sent once payment has been received

4. Practical Evidence. On the confirmation email you will also receive a second link for practical evidence. Or you can find it here. This can be sent back to us via the online form or emailed to us.
Please upload a copy of your current Certified Handler Certificate*

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Today's Date*

DayMonthYear
Name*

First NameLast Name
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone

Area CodePhone Number
Mobile Number*
Email Address*
Date of Birth*

DayMonthYear
Photo ID - upload a photo of your PASSPORT, BIRTH CERTIFICATE or CURRENT FIREARMS LICENCE (both sides) - please note Drivers Licence isn't an accepted form of ID. *

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Company / Employer Name*
Work Address - if different from above*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Work Number - if different from above

Area CodePhone Number
Work Email *
Note certificate will be emailed to your employer as well as personal email.
Lifecycles - Please select the lifecycles you require on your Certificate*

UseStorageDisposal - (COMPULSORY - every Application requires Disposal)Transport - (must have a current 'D Endorsement' on Drivers Licence for this)
How much time have you had working with these Substances?

0-12 months1-5 years5-10 yearsMore than 10 years
This assessment is to be completed only by the named person above and is all my own work.*

YesNo
I agree that there is a maximum application period of 3 months to provide all required information to Adroit Solutions.*

Yes
Payment
Payment Options - $595 + GST*

Credit Card via PayPalBank Transfer / Direct CreditInvoiceFarmlandsRuralco
Credit Card payment via PayPal. You will be redirected to the Paypal payment page once you submit the form below.
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Certified Handler$684.25NZD
Bank Transfer Payment Options:

If you'd like to complete payment via this option, please deposit $595 + GST direct into our bank account.

Details:
Adroit Solutions Ltd
BNZ - 02 0922 0256838 25

Please note certificate won't be issued until payment has been received.
Invoice Options:

If you'd like us to invoice you / your company please confirm Company name and order number.

Please note certificate won't be issued until payment has been received.
Company to address invoice to:
Order number
Pay via Farmlands Card

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Please upload a photo of the front of your farmlands card, which we will then manually process. Cancelof
Pay via Ruralco Account

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Please upload 2 photos of front and back of your Ruralco card, which we will then manually process. Cancelof
Enter the text as it's shown*
Additional information
Please use this box if you have any additional information regarding this registration
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Certified Handler Retail/Salesperson - Renewal

Payment