National Occupational Certification Application Form

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)
Client Name*

First NameMiddle NameLast Name
DOB*

DayMonthYear
Birthday
Email*
example@example.com
Primary Phone Number*
Please enter a valid phone number.
Secondary Phone Number*
Please enter a valid phone number.
SIN Unique ID*
Please use only 6 digits
Primary Address*

Street Address

Street Address Line 2

CityCountry

Postal / Zip Code
Parish*

Street Address

Street Address Line 2

CityParish/State

Postal / Zip Code
Postal code*

Street Address

Street Address Line 2

CityCountry

Postal / Zip Code
Country*

Street Address

Street Address Line 2

CityCountry

Postal / Zip CodeCountry
Client Gender*
Referral Source*

NoneEmployersNational Certification ProgramOther
Employment Status at Program entry
Name of Company
Are you Bermudian or hold Bermudian Status?

YesNo
Proof of Bermudian Citizenship

Voter's Registration CardPassportImmigration Letter
Proof of Bermudian Citizenship File Upload

Cancelof
Non Bermudian Government Issued Identification Type

Drivers LicensePassport
Non Bermudian Government Issued Identification File Upload

Cancelof
Work Permit Number*
Work Permit File Upload*

Cancelof
Do you Speak English?

YesNo
If No what Language?
Will you need an interpreter ?
If other Please specify:
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/Gardening)National Occupational Certification (Automotive)National Occupational Certification (Welding)
Welding License Type
Electrical Level of Expertise
Electrical Commercial Class

SolarSingle Phase Generator3 Phase GeneratorUninterrupted Power Supply3 PhaseOver 400 Amps
Electrical Residential Class

SolarSingle Phase GeneratorUninterrupted Power Supply
Landscape/ Gardeners Level of Expertise
Automotive Service Technician Level of Expertise
Please choose correct option*
Resume Upload

Cancelof
Have you ever commenced an apprenticeship?*

YesNo
Country of Apprenticeship
Address of Apprenticeship

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Length of Apprenticeship
Start Date

DayMonthYear
Date
End Date

MonthDayYear
Date
Did you complete the Apprenticeship?

YesNo
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

MonthDayYear
Date
Expiry Date

MonthDayYear
Date
Certification Level
Is employee reference included ?*

YesNo
Employee Reference Upload*

Cancelof
Replacement Certificate
Reason for Replacement?

LostDamagedName Change
Type of Certificate
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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Should be Empty:

National Occupational Certification Registration/Application Form

Requirement Checklist:

Bermuda National Occupational Certification Registration/Application Requirements

Requirement Checklist:

Replacement Certificate