EHS-CSP-02 CSF-02a

Safety Advisor Registration Scheme – Training Course Booking Form

New (2 days) For Renewal

Applied for (Please tick one) Old Card No
Renewal (1 day)
Date of Expiry

DELEGATE DETAILS
Visa
Name Position

E mail Mobile No.

Academic Experience
Qualifications as Safety

Safety Total
Qualifications experience

COMPANY DETAILS

Name Address
Tel. No /
Email
Fax. No

COMPANY DECLARATION

We hereby confirm that the above-nominated delegate is working as a Safety Advisor for our company under the
jurisdiction of Trakhees. All the furnished information’s are true as per the requirements of EHS

Authorized Person Name : _________________________ Designation: ________________________

Signature: ________________________ Date: _____________________ Stamp : ________________

This form to be filled completely and send to EHS at ehs.construction@trakhees.ae with following attachments in
.pdf format FOR OFFICE USE ONLY

1. Trade license of the company

2. Full CV of the applicant
3. Scanned copies of all the certificates (Color)
4. Passport size color photograph (Size 3x2 cm in white background, Maximum 50 KB)
5. Passport copy with valid visa page
Upon successful screening of your application, You will receive a payment advice in order to reserve a seat for
the training. Training schedules will be communicated 1 week before the set date

REVISION: 01 January 2012 PAGE 1 of 1

Note: Please refer www.ehss.ae to ensure that this document is current and applicable