SWQR 2 Application Form

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STREET WORKS QUALIFICATIONS REGISTER (SWQR)
RE-REGISTRATION / REPLACEMENT CARD
(SWQR 2) APPLICATION FORM
RE-REGISTER CARD (not available in England)
Working in:
Scotland
Wales
2
OR
REPLACEMENT
CARD
OR
N. Ireland
TRAINING CENTRES ONLY
SWQR Approved Centre Number
Purchase Order Number (if required)
CANDIDATE DETAILS – Please complete all information in BLOCK CAPS
PHOTO
Existing SWQR Registration Number (if known):
PLEASE
ATTACH WITH
GLUE ONLY
Title:
Forename(s):
Surname:
Date of Birth:
/
/
(DD/MM/YYYY)
ADDRESS WHERE CARD IS TO BE SENT:
Address to:
Line 1:
Line 2:
Town:
Post code:
Phone / Email:
MAIL CHECK LIST – For office use ONLY
SWQR EXPIRY DATE
PO CHECKED
DATA CHECKED
I the undersigned hereby certify that the above candidate details have been completed accurately. Please note that all
information given will be taken as precise by SWQR and no liability will be held for inaccurate information.
SIGNATURE
PRINT NAME
DATE
FEES & PAYMENT (Valid until March 2016)
I enclose a cheque/ postal order made payable to ‘SWQR’
I wish to pay by credit/ debit card
Receipt Required (optional)
Card Details (Amex, Solo & Electron cards are not accepted):
Visa
Mastercard
Disclaimer: If you wish to pay via card,
SWQR will accept no liability if your
card details are lost in the post.
Maestro
Visa Debit
Re-registration (max 3 months
after card expiry date):
Replacement Card:
Card Number
Valid From
Expiry Date
Issue No.
Security No.
£20.35
£20.35
GUIDANCE NOTES TO ASSIST WITH THE COMPLETION OF
SWQR APPLICATION FORM
Please follow the guidance notes carefully. Applications that have been incorrectly completed
will be returned.
Applications may be delayed if there is a mistake on the form, the necessary fee has not been enclosed, or the
photograph sent in does not meet our guidance note requirements.
Complete the form in CAPITAL LETTERS. Please write only within the space provided. The I/D card will
have a digital image of the applicant’s photo.
Please tick the relevant box beside the type of application you are making and which country
you will be working in – Re-registration is not applicable if you are working in England
1. TRAINING CENTRE DETAILS
 If centre is to be invoiced, as per prior agreement, please supply your SWQR Approved Centre
number along with a Purchase Order number (if required). If purchase order numbers are required by
your centre, but not completed, applications will be returned. We will not complete purchase order
information on behalf of a centre.
2. CANDIDATE DETAILS
 Please supply the candidate’s existing SWQR Registration Number (if known).
 Please complete the candidate’s full name, including title and date of birth.
 Attach a current passport size photograph of the candidate (see separate guidance leaflet on acceptable
photographs). Please use glue, and do not staple the photograph.
3. ADDRESS WHERE CARD IS TO BE SENT
 Please fill in the address details, including company name and who the card should be addressed to, if
applicable.

Complete a contact telephone number and/or email address; this will only be used in the event of a
problem with the application.
NB The I/D card will be returned to this address. Please ensure that this address is correct.
Covering letters/compliment slips etc. will not be accepted as a notification of address
Please read the declaration, sign and print name and date the form accordingly
4. FEES AND PAYMENT
 Payment can be made by cheque/postal order (in UK pounds sterling only) or by credit/debit card.
Please make cheques/postal orders payable to ‘SWQR’.



If paying by credit/debit card, please complete all required fields. Please note that Amex and Solo
cards are not accepted.
Re-registration – if your card is due to expire in the next 3 months, please pay the Re-registration fee.
- If your card has expired you must Re-register before your card has expired more than 3 months.
- If card has expired more than 3 months you cannot re-register and must fully retake your
qualifications.
If you require a receipt for your payment please tick the box. This is optional so if the box is not ticked
a receipt will not be issued.
NOTES
Where possible, the existing I/D card should be returned to the SWQR with the completed application.
RETURN FORMS TO:
The Street Works Qualifications Register (SWQR)
The Optima Building
58 Robertson Street
GLASGOW
G2 8DQ
Telephone: 0345 270 2720
Email: swqr@sqa.org.uk
Website: www.swqr.org.uk
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