Application Form

Registration No. Title Dr. / Mr. / Mrs. / Ms.

* First Name Second Name *Last Name

* Date of Birth * Gender M/F

Nationality

* E-mail

* Address Work or Home -

*City *Country
Country
Contact No. No. *Mobile No. Country Code No.
Code
*Certification Scheme
1- CSS, CES, AOSH 30, CST, FSE, NEBOSH UK, IOSH-UK, AOSH Certificate UK, Skill level
Applying for
1- Passport
*Identification 2- National ID
Centre Islamabad / Multan
Document 3- Driving Licence

*Qualification (list down all educational degrees/diplomas/certificates) & attach copies of the degree/certificate

Year Title of Degree/Study University/Institute Name Degree/Certificate Evidence

Add More
Tab
Qualification
* Certification Scheme
(experience certificates are required)
Related Experience
Year Designation Company Name Nature of Business Experience Letter

Add More Tab

If you are / were already Certified by Fire and safety Experts or any Other Professional Certification Scheme, please fill up the
following information:
Scheme Certification Name Certification Number Date of Expiry Certification Evidence
 Application Form

If you have membership with any professional body, please provide details below:

Professional Body Membership Number Date of Expiry Certificate Evidence

How did you find Fire and safety Experts?

o Social Media
o Independent Website
o Search Engine
o Promotional email
o Exhibition or Event
o Word of Mouth
o Other

Do you need any special assistance? Yes or No

make a note (Reasonable adjustments can be made where a candidate, who is disabled)
I hereby acknowledge that I fully understand and will abide by the following terms & conditions
1. Meet the “Certification Scheme Requirements” .
2. FSE Examination Process, Test Entry Requirement, Missed Examination, Test Misconduct, Test
Security and Recertification Process
3. The information provided in “Application Form” can be published by FSE anywhere
Terms & Conditions
(internally/externally) & I have NO objection
4. I fully agree FSE” and “Policies & Procedures” for certification
5. I fully agree FSE “Suspending and Withdrawing” certification
6. I fully agree to comply with certification requirement and to supply any information needed for
assessment by FSE/Accredited body

I confirm that the information contained in this application is correct to the best of my knowledge and
belief. I understand and accept that, if I provide incorrect information or withhold relevant, requested
Declaration
information, I am likely to be excluded or removed from the FSE / Accredited Certification Scheme. I
also understand that FSE has the right to independently verify any documents submitted.

Signature

Date
Payment Mode: PO/DD/Bank Transfers/Credit card
Account Title: Fire and Safety Experts
Account Number: 0304300023560001
Bank Islamic Pakistan Ltd. DHA, Phase II, Islamabad.
Signatures with official Stamp
HR /Head Of Name and Date :
Department Please email at : info@safetyfirexperts.com
 Application Form

Our Offices and Training centres

Islamabad: Fire and Safety Experts, Defence Housing Authority, Islamabad

Tel: 051-5418010 / 0302-8968778

Multan: 32-B Khan Colony, Chungi Number 07, Opposite Abdullah Centre

Web: www.safetyfirexperts.com , Email: info@safetyfirexperts.com ,