National Occupational Certification Registration/Application Form
Requirement Checklist:
Complete Registration Application Form· Certified copy of Passport· Certified copy of Work Permit (if applicable)· Spousal Letter (if applicable)· Resume Qualifications/certificates (if applicable) A reference from the current supervisor(validate current job description and experience) $265.00 registration fee (paid to Accountant General after documents are vetted)
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*
Please Select
Initial Certificate
Renewal of Certificate
Upgrade of Certification
Replacement of Certificate
Replacement of ID card
Client Name
*
First Name
Middle Name
Last Name
DOB
*
-
Day
-
Month
Year
Birthday
Email
*
example@example.com
Primary Phone Number
*
Please enter a valid phone number.
Secondary Phone Number
*
Please enter a valid phone number.
Social Insurance Number
*
To avoid delays or failure in processing your application, please ensure that you enter your correct Social Insurance Number (SIN).
Primary Address
*
Street Address
Street Address Line 2
City
Country
Postal / Zip Code
Parish
*
Street Address
Street Address Line 2
City
Parish/State
Postal / Zip Code
Postal code
*
Street Address
Street Address Line 2
City
Country
Postal / Zip Code
Country
*
Street Address
Street Address Line 2
City
Country
Postal / Zip Code
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Afghanistan
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Client Gender
*
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Male
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Referral Source
*
None
Employers
National Certification Program
Other
Employment Status at Program entry
Please Select
Employed Full Time
Employed Part Time
Unemployed
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Name of Company
Are you Bermudian or hold Bermudian Status?
Yes
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Proof of Bermudian Citizenship
Voter's Registration Card
Passport
Immigration Letter
Proof of Bermudian Citizenship File Upload
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Non Bermudian Government Issued Identification Type
Drivers License
Passport
Non Bermudian Government Issued Identification File Upload
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Work Permit Number
*
Work Permit File Upload
*
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Do you Speak English?
Yes
No
If No what Language?
Will you need an interpreter ?
Please Select
Yes
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If other Please specify:
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Bermuda National Occupational Certification Registration/Application Requirements
Applicants must fill out the Bermuda National Occupational Certification Application Form
Requirement Checklist:
Complete Registration Application Form· Certified copy of Passport· Certified copy of Work Permit (if applicable)· Spousal Letter (if applicable)· Resume Qualifications/certificates (if applicable) A reference from the current supervisor(validate current job description and experience) $265.00 registration fee (paid to Accountant General after documents are vetted)
Name of Designated Occupation
*
National Occupational Certification (Electrical)
National Occupational Certification (Landscape Gardener)
National Occupational Certification (Automotive)
National Occupational Certification (Welding)
Welding License Type
*
Please Select
CSA 47.1 (4G)
CSA B31.3 (6G)
Electrical Level of Expertise
*
Please Select
Residential
Commercial and Residential
Electrical Commercial Class
*
Solar
Single Phase Generator
3 Phase Generator
Uninterrupted Power Supply
3 Phase
Over 400 Amps
Electrical Residential Class
*
Solar
Single Phase Generator
Uninterrupted Power Supply
Current NOC Level of Expertise (Automotive Tech)
*
Please Select
Level 1
Level 2
Level 3
Level 4
Current NOC Level of Expertise (Landscape Gardener)
*
Please Select
Level 1
Level 2
Level 3
Resume Upload
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Have you ever commenced an apprenticeship?
*
Yes
No
Country of Apprenticeship
Address of Apprenticeship
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Length of Apprenticeship
Start Date
-
Day
-
Month
Year
Date
End Date
-
Month
-
Day
Year
Date
Did you complete the Apprenticeship?
Yes
No
Name Certificates/Documents presently held
Please Upload Name Certifications/ Documents presently held
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Previous National Occupation Certificates held
National Certification Upload
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Certificate Number
Issue Date
-
Month
-
Day
Year
Date
Expiry Date
-
Month
-
Day
Year
Date
Certification Level
Please Select
Landscaping Level 1
Landscaping Level 2
Landscaping Level 3
Automotive Level 1
Automotive Level 2
Automotive Level 3
Automotive Level 4
Electrical Resedential
Electrical Full
Welding CSA 47.1 (4G)
Welding CSA B31.3 (6G)
Is employee reference included ?
*
Yes
No
Employee Reference Upload
*
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Replacement Certificate
Reason for Replacement?
Lost
Damaged
Name Change
Type of Certificate
Please Select
Wall
Wallet
National Occupation Certificates No
By signing this form, I hereby authorize the Department of Workforce Development to disclose information with Employers and Service providers who offer employment placement and Career Development services to assist applicants with the achievement of employment goals. The applicant acknowledges and understands that employers and service providers may use personal information disclosed to Workforce Development about the application for work referrals, job placement, training and Development and to widely explore employment opportunities for the applicant. The applicant waives any right to claim confidentiality of such personal information disclosed by the Department of Workforce development.
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