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Consultant Affiliate Network Application Form

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Consultant Affiliate Network Application

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First Name

Last Name

Job Title

Email

Contact Number

Qualification type

Certificate Degree or above Diploma Other (please specify)

Other Qualification Type

Qualifications Awarding Institute

APS BIFM BOHS BPS BSC CIEH CIEHF CITB City & Guilds ECITB IFE IIRSM IOSH NEBOSH REHIS ROSPA Other (please specify)

Other qualifications - Please also use this box to include date of qualifications selected above

Membership of Professional Bodies

BOHS CIEH CIEHF IIRSM IOSH REHIS

Member Since Date - Please use this box to include the date you first joined the membership bodies you have selected above

Total years of work experience

Industries you work in

Agriculture Air Transport Armed Forces Biocides Catering and Hospitality Cement Ceramics Chemicals Cleaning Concrete Construction Diving Docks Education Engineering Entertainment and Leisure Equine Industry Explosives Fire and Rescue Services Food and Drinks Manufacture Footwear Gas Glass and Glazing Hairdressing Haulage Health Services Heavy Clay and Bricks Laundries and Dry-cleaner Leather Local Government Manufacturing Mining Molten Metals Motor Vehicle Repair Nuclear Offshore Oil and Gas Paper Pesticides Plastics Police Retail Rubber Stonemasonry Surface Engineering Textiles Tree Work Warehousing Waste Management Woodworking and Furniture

Additional industries not listed above

Service Type Specialties

Accredited training Asbestos Surveys Audits Bespoke training CoSHH Coaching Construction work Display Screen Equipment (DSE) e-Learning Employment Law Environmental Management Events and Exhibitions Fire Food Safety General Consultancy Injury Reporting Inspections Inspections of Common Parts Investigations Legionella Surveys Manual Handling Noise Survey/ Risk Assessment Quality Residential Care Homes Safety at Sports Grounds

Additional Services not listed above

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Riskex Limited

BizSpace
Linford Forum
18 Rockingham Drive
Milton Keynes
Buckinghamshire
MK14 6LY

What3words reference:

unlimited.cheerful.something

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Make an enquiry:

+44 (0) 1908 915272

help@riskex.co.uk

Company No. 05174302
VAT No. 844 5092 22

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