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Shieldyourself Partner Application

Auditor/Trainer Applicant Details
* Please provide details of what courses, training  or audits that you are registered/qualified to provide
* Which regulatory organisations are you a member of, and what is your registration number?
* Which training organisations are you registered with, and what is you registration number?
   
* applicant name    
* applicant's phone number    
* applicant's e-mail    
   
* business name    
* registered address    
* business phone number    
fax number  
Website address
(if available)
 
Company registration number (if Company)  
VAT number
(if Vat registered)
 
Number of years trading
or practicing
 
   
Details of 2 Business references
Reference 1
 
Reference 2
 
   
Further Questions
Please provide details of any qualifications held (including what level, what grade/quality of pass if appropriate, date of qualification).
 
Provide details of any regulatory body memberships or registrations (including registration number)- examples could be Chartered Institute of Environmental Health, etc
 
Provide details of Public and Employer Liability Insurance, including underwriter and level of cover, and expiration date of cover
 

Provide details of Professional Indemnity Insurance, including underwriter and level of cover, and expiration date of cover

 
Provide details of what area/location you can provide services in  
Provide details of any memberships of any Quality Standards
(eg: ISO9002)
 
   
* = mandatory fields