Apply to Shieldyourself

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Please complete the form below and tick the services that apply.

Consultants/Trainer/Auditors

food safety	health & safety
fire safety	first aid

* Please provide details of what courses or training 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?

facilities management services

Providers of Facilities management services:

Pest Control

Bird Proofing/Ethical Bird Control

Washroom/Hygiene Services

Electrical or PAT testing (inc. electrical installation services)

Gas installation testing

Waste Management (inc. waste collection, recycling, site clearance)

Contract Cleaning

Security services (manned security provision, CCTV, alarm installation or maintenance)

Fire Extinguishers or alarm systems

Legionella testing

Energy usage surveys

Applicant Details

* 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

In the case of consultant applicants, please provide details of any qualifications held (including what level, what grade/quality of pass if appropriate, date of qualification).

In the case of company applicants, please provide details of the qualifications held by employees who provide the services you are offering

Provide details of any regulatory body memberships or registrations (including registration number)- examples could be Chartered Institute of Environmental Health, CORGI, etc

Provide details of Public and Employer 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

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Shield Consultancy Services UK Ltd.
10 Kilburn House, Manchester Science Park, Lloyd Street North, Manchester. M15 6SE