Course Registration & Enrolment Form

  • Course Registration & Enrolment Form

    Your information will be processed securely in accordance with UK GDPR.

  • Course Selection

    Please select the course you are applying for. Note: Refresher courses require previous valid certification.

  • Personal Details

    Enter your personal details as they appear on official documents.
  • Date of Birth*
     / /
  • Format: +44 0000000000.

  • Identification & Right to Work

    Upload identification and right to work documents. All uploads are securely encrypted.
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Right to Work Status*

  • SIA Licence Details

  • Licence Expiry Date*
     - -
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof

  • Previous Qualifications

    Please declare if you have previously completed this qualification.
  • Upload ACT Certificates
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload ACT Certificates
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload First Aid Certificates
    Drag and drop files here
    Choose a file
    Cancelof

  • Medical & Emergency Contact

    Provide details for your safety and emergency contact.
  • Do you have any medical conditions we should be aware of?*
  • Do you have any learning difficulties we should be aware of?*
  • Format: +44 0000000000.

  • Payment & Compliance

    Complete payment details and confirm declarations.
  • Payment Method*
  • Declarations (please confirm all)*
  • Submission Date*
     / /
  • Should be Empty: