REGISTRATION APPLICATION FORM GAS SAFE REGISTER
|
|
|
- Catherine Jordan
- 8 years ago
- Views:
Transcription
1 REGISTRATION APPLICATION FORM GAS SAFE REGISTER Please complete these forms using a black ballpoint pen and block capitals. Section 1 Your Business Information Trading Trading Continued (for businesses with longer trading titles) Company Name (if different from above) Building Name Number and Street/Road Name City or Town County Postcode Page 1 Reg App 6p GSAF10-JAN15AF.indd 1 06/01/ :02
2 Section 1 continued Your Business Information Responsible person Please provide us with the name of the person responsible for gas registration matters, if you are a sole trader this will be you. This is the person that we will address all correspondence to. Telephone Number (please include the dialing code) Mobile Number Fax Number Address Business type Please tick the box to describe the type of business making this application. Limited companies should include the company registration number. Sole Trader/Self Employed Partnership Limited Company Company Government/Public Body (this is your Companies House number) Page 2 Reg App 6p GSAF10-JAN15AF.indd 2 06/01/ :02
3 Section 2 Additional Operating Centre Address Please only complete this section where you have other operating centres controlling or undertaking gas work. Please ensure when adding engineers to your registration that they are allocated to the correct operating centre. If you have more than one operating centre please photocopy this section before you complete it. Building Name Number and Street/Road Name City or Town County Postcode Responsible person Please provide us with the name of the person responsible for any gas work being undertaken at this centre. Telephone Number (please include the dialing code) Mobile Number Fax Number Address Page 3 Reg App 6p GSAF10-JAN15AF.indd 3 06/01/ :02
4 Section 3 Your Engineers This section of the form provides us with information about your engineers. Please tell us about everyone working for you who will undertake gas work. First, if your business has three or more engineers please photocopy Section 3 of the form before you complete it, ensuring you have photocopied enough forms for the number of gas engineers that undertake gas work for your business. Next, fill out the form(s) with the information we need about your engineers. Please ensure that you have entered all the information required. If you are a sole trader please make sure you have added your own information as an engineer. Please note that by adding engineers to your registration you are telling us that you will take responsibility for the work that they do for your business and that they carry out gas work for which they are competent and hold valid evidence of competence. National Insurance Number (we use this unique reference to ensure that your engineers evidence of competence matches our database) Please provide us with the postcode of the centre where the engineers work is managed from. Tick if your business wishes to notify unvented hot water cylinders through Gas Safe Register. We will require you to self certify that any engineer who undertakes this type of work is trained and holds appropriate evidence of competence. We will inspect this evidence during the inspection process. Additional Engineer National Insurance Number (we use this unique reference to ensure that your engineers evidence of competence matches our database) Please provide us with the postcode of the centre where the engineers work is managed from. Tick if your business wishes to notify unvented hot water cylinders through Gas Safe Register. We will require you to self certify that any engineer who undertakes this type of work is trained and holds appropriate evidence of competence. We will inspect this evidence during the inspection process. Page 4 Reg App 6p GSAF10-JAN15AF.indd 4 06/01/ :02
5 Section 4 Sanctions and Prosecutions Do you or does any engineer or any employee have any sanction, prosecution or pending prosecution that relates to gas work? This includes any improvement notice and or prohibition notice issued by the HSE. If the answer to this question is Yes please tick the box below and you must provide a description of the nature of the sanction in the space below. You should include in this section any previously issued correction or improvement notices that you have received from Gas Safe Register. No Yes Please note that we will contact you to discuss this further if the answer is Yes and it may speed up the decision making process if you include photocopies of the related documentation. Section 5 Other s If you are trading as a sole trader and have an interest in another registered business or have had a previous registration number please provide the registration numbers of each business below. If there are more than six please provide this information on a separate piece of paper. If you are trading as a Limited company or Partnership, please list all directors/partners of the business applying for registration. If any of the directors or partners have a current or past interest in a registered business please enter the registration number of the business against their name. Name Additional Section 6 Find a Registered Business Service As part of our commitment to support awareness of registered businesses, we will allow members of the public to use the Gas Safe Register service to identify names and telephone numbers of registered businesses by area and by category of registration through the Find a registered business service. If you do not want the details of your business to be available through this service, please tick the box. Check an Engineer Service As part of our commitment to ensuring the public only uses registered engineers we will confirm an engineer s licence number, photo and categories of registration as well as the registered business name and number through this service. If you have not ticked the box above we will also give out your registered address. Page 5 Reg App 6p GSAF10-JAN15AF.indd 5 06/01/ :02
6 Section 7 Payment and Fees Please note the application fee and registration fee are applicable in all cases. Cheque Payment should be made to Gas Safe Register for the full amount and returned with this form. Please write your company name and postcode on the reverse of the cheque. Credit/Debit Card If you prefer to pay your application and registration fees by credit/debit card, please tick the box and we will call you to take your card details. The current fees are: Number Inc 20% Total Application fee 1 x = Registration fee (including a single engineer) 1 x = Additional engineers x = Grand total Examples: a sole trader will pay plus VAT registration fee, and the application fee of 190 plus VAT. a business with 10 engineers will pay plus VAT. This includes plus VAT registration fee, plus VAT application fee and 9 x plus VAT additional engineer fee. Section 8 Data Protection Data protection statement Capita Gas Registration and Ancillary Services Ltd., trading as Gas Safe Register is a data controller under the Data Protection Act, This statement confirms our commitment to protect your privacy, to process your personal information in a manner which meets our requirements of this legislation and to use your data only for the delivery of the gas registration scheme in the performance of our legal and regulatory responsibilities. By completing and submitting this information you are confirming that the information you are supplying is correct to the best of your knowledge, and you are accepting the terms and conditions of registration for your business and associated engineers as defined in the scheme Rules of Registration. Signature: Position: Date: Page 6 JAN15AF Reg App 6p GSAF10-JAN15AF.indd 6 06/01/ :02
NATIONAL PEST TECHNICIANS ASSOCIATION
NATIONAL PEST TECHNICIANS ASSOCIATION SERVICING COMPANY MEMBERSHIP APPLICATION FORM NPTA, NPTA House, 12 Farrington Way, Eastwood Link Office Park Eastwood, Nottingham, NG16 3BF Tel: 01773 717716 Fax:
Application Form. for corporate membership. The Guild of Letting & Management
Application Form for corporate membership The Guild of Letting & Management Guild of Letting & Management application for corporate membership tes for Applicants The Membership Department aim to process
APPLICATION FOR GAS WORK AUTHORISATION (MOTOR FUEL)
Applicant Details APPLICATION FOR GAS WORK AUTHORISATION (MOTOR FUEL) Petroleum and Gas (Production and Safety) Act and Regulation 2004 Corporation Application Details Do NOT complete if you are an Individual
Elite Retirement Account
Elite Retirement Account Application Form and Mandate for a Self Invested Personal Pension Plan Member Bank Account Self Invested Personal Pension Scheme Account Opening Request To: The Manager, Partnerships
60 Day Notice Business Savings Account Issue 4-Application Form
60 Day Notice Business Savings Account Issue 4-Application Form Please complete this form in BLOCK CAPITALS and in ink. Account Number (For bank use only) I/We would like to invest into a 60 Day Notice
95 Day Notice Business Savings Account Issue 4-Application Form
95 Day Notice Business Savings Account Issue 4-Application Form Please complete this form in BLOCK CAPITALS and in ink. Account Number (For bank use only) I/We would like to invest into a 95 Day Notice
I/We enclose... to open... Account
Please use black ink if the account is for more than two applicants please use an additional form. Under Society Rules, the first named account holder will be entitled to receive tices of General Meetings
Individual Tenancy Application
Individual Tenancy Application A separate application is required for each adult resident to avoid delays give full details - this form MUST be completed prior to carrying out credit searches www.landlordzone.co.uk/verify.htm
Transfer application form
For customers Guaranteed Pension Annuity (tax-free cash) Transfer application form Illustration number Agent number / Agent phone number Agent fax number Agent email address Page 1 of 12 Application checklist
A Hero rate or Zero fees at selected ATMs.
A Hero rate or Zero fees at selected ATMs. It s easy to open your Bankwest Hero Transaction account or Bankwest Zero Transaction account. Here s how: Now that you have downloaded the Bankwest Hero Transaction
MOTOR VEHICLE ACCIDENT CLAIMS
MOTOR VEHICLE ACCIDENT GUIDANCE NOTES AND REPORT FORM MOTOR VEHICLE ACCIDENT CLAIMS GUIDANCE NOTES The following notes have been prepared to help you make your claim. We recommend that you read them carefully
Becoming Gas Safe Registered
Becoming Gas Safe Registered all businesses and engineers that undertake gas work must be registered with Gas Safe Register. BECOMING REGISTERED WITH GAS SAFE REGISTER IS EASY AND FAST. The gas registration
Licence Application Form COMPANY
Licence Application Form COMPANY Completing this form Use BLACK pen only Print clearly in BLOCK LETTERS DO T use correction fluid any amendments should be crossed out and initialled 1. COMPANY DETAILS
Motor Accident Report Form
Motor Accident Report Form Tel: 01423 876000 Rural Insurance Group Limited The Lenz Hornbeam Park Harrogate HG2 8RE Fax: 01423 874127 INSURED Motor Accident Report Form Policy. Name Home Tel.. Work Tel..
Introducer Important Notice
Introducer Important tice Please provide us with:- 1. This fully completed Application Form; 2. Copy of the Firm s Data Protection Certificate; 3. Proof of Identity & Address for each Director / Partner.
R Pension Trader Account for SSAS application
R Pension Trader Account for SSAS application This is an application form to open a Pension Trader Account for SSAS. Please read this application form in conjunction with your Pension Trader Account for
70 WALKDEN ROAD, WORSLEY, MANCHESTER, M28 3DB T-0161 702 0007 F: 0161 702 0009 Email property@griffin-estates.com. Print Name.. Sign.
70 WALKDEN ROAD, WORSLEY, MANCHESTER, M28 3DB T-0161 702 0007 F: 0161 702 0009 Email property@griffin-estates.com Due to a fast moving lettings market the first party to pay the deposit will be considered
Application form for childminders and providers of childcare on domestic premises to seek approval to operate from non-domestic premises
Application form for childminders and providers of childcare on domestic premises to seek approval to operate from non-domestic premises Please complete this form online and return via email if possible.
Countryside Stewardship
Countryside Stewardship Land Ownership and Control form Important information about this form please read Use of this form This form is for use where you are applying for Countryside Stewardship (CS) and
Additional contribution application form
14P44 GROUP STAKEHOLDER PENSION PLAN Additional contribution application form You ll need to complete this application form to apply an additional regular contribution and/or single contribution to your
SPORT / VOLUNTARY WORKERS INSURANCE CLAIM FORM
SPORT / VOLUNTARY WORKERS INSURANCE CLAIM FORM The issue or acceptance of this form is not construed as an admission of liability on the part of the Company. Please print clearly. To avoid delays please
Variation of Permission (VOP) Application
Variation of Permission (VOP) Application Consumer Credit Activities Firm Name Firm Reference Number Does the firm have an Interim Permission (IP)? No YesEnter your IP Number below Important information
i. Northern Ireland Science Park (hereafter known as NISP); and ii. [ ] (hereafter known as the Licensee) Address Post Code Details of activity
![i. Northern Ireland Science Park (hereafter known as NISP); and ii. [ ] (hereafter known as the Licensee) Address Post Code Details of activity](/thumbs/33/16363823.jpg "i. Northern Ireland Science Park (hereafter known as NISP); and ii. [ ] (hereafter known as the Licensee) Address Post Code Details of activity")
NORTHERN IRELAND SCIENCE PARK Serviced Office Solutions License Agreement This agreement dated [ ] made between: i. Northern Ireland Science Park (hereafter known as NISP); and ii. [ ] (hereafter known
pension income plus pension income plus annuity Annuity
No ID or age evidence required pension income plus pension income plus annuity Annuity Application Form For Financial Adviser completion only Adviser Financial Services Register number Adviser email address
Home Insurance Claim Form
Home Insurance Claim Form Notes Please complete in BLOCK CAPITALS. Policy number Claim number This form should be filled in by the person named as the Policyholder on the policy schedule. Please complete
SUPPLEMENTARY COURSES 2016 BOOKING FORM
2016 BOOKING FORM SECTION 1 : Course details Please complete sections 1-3 and 4 if applicable Please select from the following COURSES LOCATION DATE OPTION 1 Level 3 First Aid at Work Instructor Update
Membership Form. Page 1 of 5. am / was a member of Mensa NZ Membership number (if known) Approximate date of joining... Previous name (if different)
I I I Membership Form am / was a member of Mensa NZ Membership number (if known) Approximate date of joining... Previous name (if different) MENSA NEW ZEALAND Inc. PO Box 5765 Wellesley Street Auckland
NATIONAL POLICE HISTORY CHECK INFORMATION 2014. Western Australian Education and Training Sectors
NATIONAL POLICE HISTORY CHECK INFORMATION 2014 Western Australian Education and Training Sectors HOW TO COMPLETE THE NATIONAL POLICE CHECKING SERVICE (NPCS) APPLICATION/CONSENT FORM Please read all information
Motor Accident Report Form
POLICYHOLDER DETAILS Policy Number: Name of Insured/Trading Title Claim Ref: Date of Birth: Email Occupation/Business Daytime Are you registered for VAT? Yes No If Yes please state VAT reg. no. PERSON
Transfer of domain name registration
Transfer of domain name registration This form authorises the transfer of the domain name Currently registered in the name of This name should be taken from the WHOIS information that can be found at www.nominet.org.uk
Select CTRL + Click on any of the contents headings to move to the relevant section. What is MySSSC?... 4
MySSSC guidance Select CTRL + Click on any of the contents headings to move to the relevant section Contents What is MySSSC?... 4 What can I use MySSSC online services for?... 4 How to create your MySSSC
Public Limited Company, Limited Company or Limited Liability Partnership
Public Limited Company, Limited Company or Limited Liability Partnership Mandate for transacting with Bank of Ireland Global Markets in the United Kingdom (UK) Global Markets Your Business Details Business/Trading
Approved Contractor Application (SAFE Form B)
Approved Contractor Application (SAFE Form B) 1. Business Information Company Name: Postal Address: Physical Address: (If differs from Postal) Phone: Mobile: Email Address: Number of Employees: 2. Key
Tenant transfer application
For office use Registration No. Tenant transfer application Main applicant Place passport sized photo of main applicant here Place passport sized photo of joint applicant here If you would like any part
Motor Accident Report Form
Completing the claim form It is always important to notify your Insurer of a claim as soon as possible after an accident has occurred. Please therefore complete this form and return it to us within 14
LONDON BRANCH THE MORTGAGE APPLICATION FORM FOR YOUR HOME IN PORTUGAL
LONDON BRANCH THE MORTGAGE APPLICATION FORM FOR YOUR HOME IN PORTUGAL Please ensure that the application form is completed in all respects, and that the following are enclosed: a) Evidence of income by
TRADE CREDIT ACCOUNT APPLICATION
TRADE CREDIT ACCOUNT APPLICATION Office Use Only Referral Number: 9 9 9 9 9 9 0 0 Store Signature (Sign to confirm valid photo card driver s licence or passport for the applicant has been seen) Section
Data Protection Policy
Data Protection Policy Introduction The Data Protection Act 1998 gives individuals the right to know what personal information is held about them. It provides a framework to ensure that the Office of the
Multi-Platform Open Annuity
Multi-Platform Open Annuity Application Form Powered by the London & Colonial... Upgradable, Capable, Flexible www.londoncolonial.com Multi-Platform Open Annuity Form To London & Colonial Assurance PLC:
APPLICATION FOR RETIREMENT (OLD AGE) AND INVALIDITY BENEFITS UNDER THE NATIONAL INSURANCE ACT OF 1965 JAMAICA
APPLICATION FOR RETIREMENT (OLD AGE) AND INVALIDITY BENEFITS UNDER THE NATIONAL INSURANCE ACT OF 1965 JAMAICA INSTRUCTIONS: I. This form is to be completed in BLOCK CAPITALS using black or blue ink pen;
Business account application form for a sole trader
Business account application form for a sole trader Internal use only 1. Sole trader Title Forename(s) Surname Trading name (if applicable) Date of birth (dd/mm/yyyy) Mr Mrs Miss Other Town of birth Country
application form ECCLESIASTICAL INVESTMENT FUNDS Version 3
application form Version 3 Please complete all sections below and return to: Ecclesiastical Investment Management Limited, PO Box 3733, Swindon SN4 4BG Please note this form cannot be used for an Ecclesiastical
Pension Trader Account for SIPP application
Pension Trader Account for SIPP application This is an application form to open a Pension Trader Account for SIPP. Please read this application form in conjunction with your Pension Trader Account for
How to apply for an interest free Energy-Efficiency Loan
How to apply for an interest free Energy-Efficiency Loan Introduction This document will help you to correctly complete the online Carbon Trust loan application. When to make a Loan application You should
CONTRACTOR PRE-QUALIFICATION QUESTIONNAIRE FOR COMPANIES EMPLOYING FIVE OR LESS EMPLOYEES
CONTRACTOR PRE-QUALIFICATION QUESTIONNAIRE FOR COMPANIES EMPLOYING FIVE OR LESS EMPLOYEES GENERAL INFORMATION Company Name: Company Address: Telephone No. Fax No. Mobile No. Email Address Year Company
Application for an Operator s Licence for the Carriage of Goods by Road
Application for an Operator s Licence for the Carriage of Goods by Road To avoid delays in processing your application, kindly read this form carefully, and fill it in completely. The Authority for Transport
Berwick Savings and Loans - How to Save Money
Berwick Savings and Loan The easy way to save and have access to cheap loans with free life assurance. Berwick Savings and Loan Facts about Credit Unions 18,000 people now hold current accounts run by
Unicorn Application Form Institutional (B) Shares
Unicorn Application Form Institutional (B) Shares Please complete this form with a ball point pen using BLOCK CAPITALS The form should be returned to Unicorn Asset Management Limited, Springfield Lodge,
APPLICATION FOR ENROLMENT FORM 2015
PROVIDE FIRST AID APPLICATION FOR ENROLMENT FORM 2015 State Enterprise Training (SET) act as the lead RTO to ensure all obligations regarding RTO registration standards are met including the issue of qualifications
The Exclusive Possession Of Goods By retailers
www.lesmewtonselfstorage.co.uk Les Mewton Self Storage Licence Agreement Les Mewton Self Storage Trehannick Sawmills Bodmin, Cornwall, PL30 3JF Tel/Fax: 01208 850238 Mob: 07771 770286 Email: enquiries@lesmewtonselfstorage.co.uk
Information acquisition. Buy to Let Application Addendum
Information acquisition Buy to Let Application Addendum Intermediary use only (KFI information - RMC s only) I. KFI issuer (systems) II. KFI Reference Number III. Level of Service (Mortgages) Advice Information
Business Banking and Lending application form
Page 1 of 12 Business Banking and Lending application form For Start Up Loans Company applicants Completing this form This application form should be completed by Start Up Loans Company entrepreneurs that
Suppliers Guide Good Invoicing Practice
Information Suppliers Guide Good Invoicing Practice In order to ensure that Bournemouth Borough Council process Invoices quickly and efficiently, we ask that suppliers follow the Good Invoicing Practices
Next of Kin: please provide details of preferred person to be contacted in the event of an emergency Name Relationship Hm. 1.
PERSONAL DETAILS Name Marital Status DOB Property Weekly Rent Term of Tenancy Occupation Date No. of Adults Ages of Children Pets Type No Registered Car Rego No Drivers Lic No Home ph Email Mobile Wk Current
Account Opening Form. Open an Account with Chryson today Benefit from a personalised and professional service
Account Opening Form Open an Account with Chryson today Benefit from a personalised and professional service Any investment in CFDs carries a high risk of loss compared to many traditional instruments
hours per week Is your business a Limited Company? If Yes If yes go to section 4: Company owners/directors
COMPANY DIRECTOR/OWNER AND SELF EMPLOYED EARNINGS INFORMATION FORM HOUSING BENEFIT & COUNCIL TAX REDUCTION SCHEME Mae r ffurflen hon ar gael yn Gymraeg o Canolfan Ddinesig This form is also available in
MOTOR TRADE CLAIM FORM
Insurance Company Limited MOTOR TRADE CLAIM FORM First Response Claims Line 0845 373 1300 Fax 020 7068 7740 Email claims@tradex.com www.tradex.com Policyholder s Name Company Name Policy No. (cover note
MOTOR FLEET. Proposal Form November 2004 Edition
MOTOR FLEET Proposal Form vember 2004 Edition Important tice To apply for the Motor Fleet Insurance Policy, complete this Proposal Form in BLOCK CAPITALS using a ball-point pen (blue or black ink). You
Approved Contractor Scheme. Application Form
Approved Contractor Scheme Application Form General Information The Approved Contractor Scheme (ACS) is a voluntary scheme for the private security industry open to organisations subject to regulation
Opening a bank account
Opening a bank account There are two main types of bank account. We ve outlined the main features and benefits for you. There s also a guide to the most common banking terms in case you re unsure. Some
Business Banking/Savings application form
Page 1 of 12 Business Banking/Savings application form For use by Sole Traders, Partnerships, LLPs, Limited Companies, Charities, Clubs, Societies and Unincorporated Associations with an annual turnover
I.D. 1138 CORP LAGHU UDYAMI CREDIT CARD SCHEME APPLICATION - CUM - APPRAISAL FORM
I.D. 1138 CORP LAGHU UDYAMI CREDIT CARD SCHEME APPLICATION - CUM - APPRAISAL FORM From, Affix photograph of Borrower here To, The Manager / Senior Manager / Chief Manager, Branch Dear Sir, I / We request
CRIMINAL HISTORY CHECK APPLICATION
NORTHERN TERRITORY POLICE SAFE NT Phone 1800 723 368 (1800 SAFENT) Office Hours 8 30am 4 30pm Monday Thursday 9 30am 5 30pm Friday CRIMINAL HISTORY CHECK APPLICATION PF095 06/12 C APPLICATION FOR CRIMINAL
APPLICATION FOR A LICENCE TO ACT AS AN INSOLVENCY PRACTICTIONER Pursuant to The Insolvency Act 2003 (the ACT ), Section 475(1)
APPLICATION FOR A LICENCE TO ACT AS AN INSOLVENCY PRACTICTIONER Pursuant to The Insolvency Act 2003 (the ACT ), Section 475(1) This application form should be read in conjunction with: - the Insolvency
ANNUAL REGISTRATION OF A CLUB/GROUP OR SOCIETY FOR 2016
ANNUAL REGISTRATION OF A CLUB/GROUP OR SOCIETY FOR 2016 1. Name of club/group or society Official name Abbreviation 2. Public contact details Please note the details you provide here will be publicly available
APPLICATION FORM SEEKING CREDIT FACILITIES FOR INVOICE DISCOUNTING FOR OFFICE USE ONLY (TO BE FILLED BY THE RESPECTIVE RM)
APPLICATION FORM SEEKING CREDIT FACILITIES FOR INVOICE DISCOUNTING FOR OFFICE USE ONLY (TO BE FILLED BY THE RESPECTIVE RM) APPLICATION # APPLICATION DATE SYSTEM GENERATED APPLICATION SYSTEM TO GENERATE
ACCOUNT NAME ACCOUNT NUMBER. Company School Trust Informal Body e.g. Reg.Group Specify
BUSINESS ACCOUNT OPENING FORM BRANCH DATE ACCOUNT NAME I/We wish to open account with Credit Bank Limited. I/We undertake to comply, observe, and be bound by Terms and Conditions made by you and in force
2016 Application & Registration Form ARF
ABN 82 055 042 852 Training Assessment 2016 Application & Registration Form ARF This form applies to medical practitioners who will be training in Australia and New Zealand. You can apply or register at
Application for Tenancy (to be completed by all adult applicants and unaccompanied minors)
Application for Tenancy (to be completed by all adult applicants and unaccompanied minors) Item Item Schedule 1. PREMISES DETAILS Lease commencement date: Lease term: weeks / fortnights / months / years
UK-PHMES CSCS Registration Card Application Form
UK-PHMES CSCS Registration Card Application Form Return Address: JIB-PMES, Lovell House, Sandpiper Court, Phoenix Business Park, Eaton Socon, St. Neots, Cambridgeshire, PE19 8EP. Section 1 Your Details
Business Access Saver Application and Authority to Operate
This form can be used to open the Business Access Saver For Companies, Partnerships, Sole Traders, Associations, Co-operatives, Trusts and Government Entities. Please completed the required sections based
Benefi t Form annuity purchase discharge. Bank of Scotland Share Dealing Self Invested Personal Pension
Benefi t Form annuity purchase discharge Bank of Scotland Share Dealing Self Invested Personal Pension Benefi t Form This benefit form must be completed if you wish to purchase a lifetime annuity and would
Bacstel-IP. Direct User Application Form
Bacstel-IP Direct User Application Form This Application Form relates to the provision of access to the Bacstel-IP service and establishes the Customer Profile for the service. Allied Irish Bank (GB) is
Application for Access to GP Medical Records (Access to Health Records Act 1990 / Data Protection Act 1998)
(Preston Office) 3 Caxton Road, Fulwood, Preston, PR2 9ZZ (Access to Health Records Act 1990 / Data Protection Act 1998) Under the Data Protection Act 1998 you are entitled to apply for access to your
Application for an Electrical Contractor s Licence
Application for an Electrical Contractor s Licence 303 Sevenoaks Street (entrance Grose Ave) Cannington WA 6107 Postal Address: Locked Bag 14 Cloisters Square WA 6850 Telephone: (08) 6251 2000 Email enquires
Owner Builder permit. Owner builder application. Company application. Lease agreements. Owner builder course. Build better.
Build better. Owner Builder permit Under the Queensland Building and Construction Commission Act 1991 you must obtain an Owner Builder permit before carrying out building work with a value of $11,000 or
Contact details Company phone number Relevant email address Website address Principal Contact Direct Telephone
CORPORATE ACCOUNT APPLICATION FORM Company Information Full Company: Registration number: Incorporation Registered Address: City Country: Postcode Principal Office (if different to registered address):
Housing Benefit And Council Tax Support Self-Employed Earnings Information
Housing Benefit And Council Tax Support Self-Employed Earnings Information You have told us on your claim form you or your partner is self-employed. We need more information about your or your partner
Early release of super on compassionate grounds How to make a claim
Early release of super on compassionate grounds How to make a claim Please note if you have ceased work due to sickness or injury, call us on 13 11 84 before proceeding. Am I eligible to make a claim?
FCU BUSINESS LOANS APPLICATION FORM
FCU BUSINESS LOANS APPLICATION FORM FAIRshare Credit Union is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority
Telephone number (including area code) Postcode. Position. Signature
Change of details Please fill in the form using BLOCK CAPITALS and black ink. Tick any boxes which apply. Santander is able to provide literature in alternative formats. The formats available are: large
Please indicate the register in which you wish to be included: First name(s) Surname Title. Country (if not UK)
Office use only Date Received App No No Allocated Approved Comments General Optical Council Application for registration 2014-15 (individual) Section 1 Application for registration Please indicate the
Calliden Builder Warranty Insurance. South Australia and Western Australia. About Calliden. The Agent. Privacy Statement. Important Information
Low Rise Multi Unit Development Project Application Form Calliden Builder Warranty Insurance (South Australia and Western Australia) About Calliden Calliden Insurance Limited (Calliden) (ABN 47 004 125
How to Rent a Property with CLP...
How to Rent a Property with CLP... Register your details with Claire Lloyd Properties by phoning 01296 431555 or emailing: aylesbury@clairelloydproperties.co.uk Meet our professional inventory clerk for
Mutual Recognition. Who can apply? Build better.
Build better. Mutual Recognition Mutual Recognition is a process whereby an individual who holds a licence in one state, territory or New Zealand is entitled to be licensed in another state, territory
REQUEST FOR WITHDRAWAL
REQUEST FOR WITHDRAWAL If you need help For assistance call NGS Super Customer Service Team on 1300 133 177. Step 1. Complete your personal details Please print in black or blue pen, in uppercase, one
Public and Product Liability. Proposal Form November 2004 Edition
Public and Product Liability Proposal Form vember 2004 Edition Important tice To apply for the Public and Product Liability Insurance Policy, complete this Proposal Form in BLOCK CAPITALS using a ball-point
First Notice of Claim for Unemployment Benefits
How to help us process your claim Checklist Before submitting your claim form, make sure you can tick all the boxes below: Involuntary Unemployment claims - Documents required Section A: Statement of claimant
How often do you see that?
5 % AER* variable Interest and Instant Access How often do you see that? The Access Plus Deposit Account *4.92% gross variable Access Plus not your everyday deposit account It pays you 5%* AER (4.92% Gross)
We need just five minutes of your time and just a little more detail about your business to open your account.*
Dear Sir/Madam, You are just TWO signatures away from savings on your fuel bill. We would like to take this opportunity to confirm, with thanks, the interest you have expressed in opening a BP credit account
Please only use this form when you wish to open a Suncorp Share Trade Account: in your name, or in joint names
Stockbroking INDIVIDUAL/JOINT ACCOUNT application form Please only use this form when you wish to open a Suncorp Share Trade Account: in your name, or in joint names In order to process your application
LAST NAME GIVEN NAME(S) DATE CEASED / / LAST NAME GIVEN NAME(S) DATE CEASED / /
Application by an INDIVIDUAL FOR A NSW SECURITY LICENCE under the Mutual Recognition Act 1992 and/or Trans-Tasman Mutual Recognition Act 1997 OFFICE USE ONLY Application No: - Receipt No: - Trim No: To
ENROLMENT FORM CIMA FULL-TIME 2014
ENROLMENT FORM CIMA FULL-TIME 2014 Please make sure that you complete all sections of this application form clearly in black or blue ink and block capitals and return by Post/ Fax/ Email to: St Patrick
COMMERCIAL VEHICLE INSURANCE PROPOSAL
Tradewise Insurance Services Ltd COMMERCIAL VEHICLE INSURANCE PROPOSAL SUMMARY OF COVER This is a brief outline only - a copy of the policy wording including all terms and conditions may be obtained on
Application form. Application Checklist. Application process. Eligibility criteria. Energy Saving Scotland Small Business Loans
Energy Saving Scotland Small Business Loans ESSSBL0512 Helping Scottish businesses reduce their energy costs Application form Eligibility criteria The scheme is aimed at Scottish businesses that fall within
Welcome to Exchequer Solutions Ltd
solutions CIS (SELF-EMPLOYED) Welcome to Exchequer Solutions Ltd Established in 2003, Exchequer Solutions is a commercial contractor offering construction services. We are vastly experienced in working
Low Rise Multi Unit Development Project Application Form RBUA Builder Warranty Insurance (South Australia and Western Australia)
Low Rise Multi Unit Development Project Application Form RBUA Builder Warranty Insurance (South Australia and Western Australia) About the Insurer This insurance is underwritten by Great Lakes Reinsurance
THE SIT SIPP. Self Invested Personal Pension. Benefit Form annuity purchase discharge form
THE SIT SIPP Self Invested Personal Pension Benefit Form annuity purchase discharge form The SIT SIPP Benefit Form - annuity purchase discharge form This benefit form must be completed if you wish to purchase
Medicare enrolment application
Medicare enrolment application When to use this form Use this form if you are: a migrant living in Australia applying for permanent residency and living in Australia a visitor to Australia an Australian
Applying for a PO Box Application Form Application for a PO Box Please ensure that you fill in all the relevant information and include proof of address documentation that is less than 3 months old. Please