Sign Up – National Energy HSSE Contractor Orientation

User Registration

Please fill out and submit this form to create an account for access to the National Energy Contractor Orientation. Please note: You must have a valid email address to access the system.

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Title*

Name*

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Sex*

If Other, Please specify*

Select form of ID to upload*

Enter ID No. based on selection above*

Please upload form of ID selected above*

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Max. file size: 10 MB.

Please ensure that both sides of your national identification card or driver's permit are uploaded if either of these were selected. Failure to do so, or the use of an invalid form of ID will result in you not gaining access to our facilities

Address Line 1*

Address Line 2*

City

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Date of birth*

Phone*

Emergency Contact No.

Name of company you are employed with

Which operator do you work for*

If Other, Please specify Name of Operator here*

Do you have any criminal records?*

Do you have a Certificate of Character?*

If you selected Yes to Certificate of Character, please upload a copy here*

Max. file size: 10 MB.

Do you have a PLEA Passport?*

Expiration Date of PLEA Passport*

Please upload a copy of your PLEA Passport*

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Max. file size: 50 MB.

ACCOUNT CREATION:

You must have a valid email address to access the system. Please enter a Username, Email address and Password below to create your account.

Username

Email address*

Password*

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