FENCING CONTRACTORS ASSOCIATION LTD Meridien House, 69

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FENCING CONTRACTORS ASSOCIATION LTD
Meridien House, 69-71 Clarendon Road, Watford, WD17 1DS Tel: 01923 797012 Fax: 01923 797011
Web Site: www.fencingcontractors.org E-mail: info@fencingcontractors.org Company No. IP 30077R
SUB CONTRACTOR REGISTER – REGISTRATION FORM
DETAILS OF APPLICANT
Full Name
Address
Postcode
Tel. No.
Email Address
Fax No.
National Insurance No.
Mobile No.
CIS Unique Tax Reference (UTR)
QUALIFICATIONS
How long have you been installing fencing?
Your qualifications including NVQ/SVQ/Diplomas
(please list all)
1.
4.
2.
5.
3.
6.
FISS/CSCS CARD REGISTRATION NUMBER?
Red (Trainee)
What FISS/CSCS Card do
you hold?
(please tick all that apply)
*Lantra VRS Card Registration Number?
Level 2
Level 3
Level 4
Green (Fencing Operative)
White (Electric Fence Installer)
Blue (General Fence Installer)
White (Automatic Gate & Barrier Installer)
Blue (VRS* Fence Installer)
Gold (Supervisor)
White (Parapet Installer)
White (Temporary VRS*)
Black (Manager)
* List all VRS product training courses undertaken
Have you had any plant training? If yes, please list below Card Type and Plant Categories (list all)
Card Type
Plant Categories
Card Type
Plant Categories
DRIVING QUALIFICATIONS
Do you hold a Full UK Driving License? (please tick)
Yes
No
Do you hold an HGV License, If so which class?
Do you have your own transport?
Yes
No
Type of Vehicle
INSURANCE DETAILS
Public Liability (Please tick)
Expiry Date
Employers and Public Liability (Please tick)
Do you work alone? (Please tick)
Yes
If no, how many people do you directly employ?
FCA 60 Rev.1
PLEASE ATTACH A
COPY OF YOUR
Expiry Date
CERTIFICATE(S)
No
PLEASE NOTE: If you contract with other labouronly subcontractors, they will ALL be required to
be registered on FCA Sub Contractors Register
Average Number regularly
sub contracted to you?
Page 1/3
October 2012
TYPES OF FENCING INSTALLED
What types of fencing have you installed? (please tick all that apply)
Chain Link
Open Mesh Panels
Rectangular
Wire Mesh
Anti Climb Systems
TYPES OF FENCING
/ PRODUCTS
Post and Wire
Synthetic Product Fencing Systems
Cleft Chestnut
Concrete Post and Panel
Close Boarded
Vehicle Safety Barrier
Timber Palisade
Environmental Noise Barrier
Timber Post and Rail
Pedestrian Guardrail
Mild Steel Bar
Electric Security Fencing
Welded Mesh
Gates
Wood Woven and Lap Panels
Electrically Operated Gates
Steel Palisade
Access Barriers
Site Hoarding
Ornamental Railings and Gates
Turnstiles
Closed Circuit TV
Bollards
Agricultural Electric Fencing
Decking
Balustrades
AREAS OF THE COUNTRY IN WHICH YOU ARE PREPARED TO WORK
Where are you prepared to work? (please tick all that apply)
*National - All of UK
Eire
Northern Ireland
Europe
All England
*By ticking ‘National All of UK’ you will be automatically confirming your availability for contracts in all of the UK Counties listed below
All Southern England
Home Counties
Greater London
Kent
Essex
Hertfordshire
Surrey
East Sussex
West Sussex
Hampshire
Buckinghamshire
Berkshire
Isle of Wight
All South West
Devon
Cornwall
Somerset
Dorset
Bristol
Gloucestershire
Herefordshire
Wiltshire
All Eastern England
Suffolk
Norfolk
Oxfordshire
Cambridgeshire
Bedfordshire
All Midlands
All West Midlands
Warwickshire
Worcestershire
Shropshire
Staffordshire
All East Midlands
Nottinghamshire
Derbyshire
Leicestershire
Lincolnshire
Rutland
Northamptonshire
All North West
Lancashire
Cheshire
Cumbria
Merseyside
Greater Manchester
Isle of Man
All North East
Northumberland
Durham
Tyne and Wear
Humberside
All Yorkshire
North Yorkshire
South Yorkshire
West Yorkshire
E R of Yorkshire
All Wales
Blaenau Gwent
Bridgend
Caerphilly
Cardiff
Carmarthenshire
Ceredigion
Conwy
Denbighshire
Flintshire
Gwynedd
Isle of Anglesey
Merthyr Tydfil
Monmouthshire
Neath Port Talbot
Newport
Pembrokeshire
Powys
Rhondda Cynon Taff
Swansea
Torfaen
Vale of Glamorgan
Wrexham
All Scotland
Aberdeen City
Aberdeenshire
Angus
Argyll and Bute
Borders Scottish
City of Edinburgh
City of Glasgow
Clackmannanshire
Dumfries and Galloway
Dundee City
East Ayrshire
East Dunbartonshire
East Lothian
East Renfrewshire
Falkirk
Fife
Highland
Inverclyde
Midlothian
Morey
North Ayrshire
North Lanarkshire
Orkney Islands
Perth and Kinross
Renfrewshire
Shetland Islands
South Ayrshire
South Lanarkshire
Stirling
Western Isles
West Dunbartonshire
West Lothian
Guernsey
Jersey
Page 2/3
FCA 60 Rev.1
October 2012
SECURITY CLEARANCE
Do you have written evidence that you have obtained any Security Clearance? (Please tick)
Yes
No
If you answered yes to the above question, what type of Security Clearance
was it, and at what level? E.g. Criminal Records Bureau (CRB)
Please attach copy of you approval paperwork
I, the undersigned, confirm that to the best of my knowledge the information I have provided is correct. I
understand and agree that the information on this form will be used by the Fencing Contractors
Association Ltd for the purposes of administering the Labour Only Sub-Contractors Register and this will
include passing information to potential Employers for this purpose. I also understand and agree that
my data may be entered onto a secure database. Please sign below to accept these terms:
Signed………………………………………………………..
Print Name…………………………………………………..
Date………………………………………………………….
We may contact you by mail, telephone or e-mail to let you know about other goods or
services or promotions which may be of interest to you. Please let us know if you wish to
receive such information from us (please delete as appropriate)
Yes
No
APPLICATION ENCLOSURES CHECK LIST
PLEASE ENSURE THAT YOU ENCLOSE THE FOLLOWING DOCUMENTATION WITH YOUR APPLICATION
AND TICK THE RELEVANT BOXES
1.
REGISTRATION FEE (£25.00)
2.
COPY OF YOUR FISS/CSCS AND/OR LANTRA VRS CARD
3.
COPY OF YOUR INSURANCE CERTIFICATES
4.
COPY OF YOUR SECURITY CLEARANCE APPROVAL
PAPERWORK
Office use only
Our Registration Fee to the value of £25.00 (Inc. VAT) is enclosed
(Please make cheques payable to Fencing Contractors Association Ltd). A receipted invoice will be
forwarded to you by return.
Alternatively I wish to pay by Credit/Debit Card. Upon receipt of my application form please contact
(name)
on (Telephone No.)
to take the payment.
FCA 60 Rev.1
October 2012
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