Please read the accompanying guidance notes before completing this form Please tick as necessary: INITIAL candidate has never been on the register before Please fill in sections 1, 2, 4, 5, APPLICATION and 6 ADDITIONAL candidate has a valid SWQR card, and has taken extra Please fill in sections 1 to 6 qualifications QUALIFICATION REPLACEMENT Please fill in sections 1, 3, 4, and 6 candidate is on the register and card is valid, but has been lost or stolen CARD RE-REGISTER card Please fill in sections 1, 3, 4, and 6 Scotland/ Wales/ Northern Ireland ONLY; candidate’s has expired and must be re-registered CARD RE-ASSESSED England card has expired in the last six Please fill in sections 1 to 6 ONLY; candidate’s months and candidate has passed re-assessment CARD Certificates MUST be attached RETAKEN card has expired more than six months ago and Please fill in sections 1 to 6 candidate’s the candidate has re-sat full qualifications QUALIFICATIONS 1: CANDIDATE DETAILS Please complete in full – PHOTO TITLE (Mr/ Mrs/ Miss/ Ms) Please use glue only FORENAMES(S) SURNAME (Enter DDMMYYYY) DATE OF BIRTH DATE CARD STAMP TYPE 2: AWARDING BODY REGISTRATION NUMBER (Required): 3: EXISTING SWQR REGISTRATION NUMBER: Tick here if card lost/ stolen 4: ADDRESS WHICH CARD IS TO BE SENT TO: ADDRESS TO LINE 1 LINE 2 TOWN POSTCODE CONTACT PHONE NUMBER MAIL CHECK LIST For office use ONLY – SWQR EXPIRY DATE DATA CHECKED PO CHECKED REASS QUALS CHCKD
Please read the accompanying guidance notes before completing this form Please tick as necessary: INITIAL APPLICATION candidate has never been on the register before Please fill in sections 1, 2, 4, 5, and 6 ADDITIONAL QUALIFICATION candidate has a valid SWQR card, and has taken extra qualifications Please fill in sections 1 to 6 REPLACEMENT CARD candidate is on the register and card is valid, but has been lost or stolen Please fill in sections 1, 3, 4, and 6 RE-REGISTER CARD Scotland/ Wales/ Northern Ireland ONLY; candidate’s card has expired and must be re-registered Please fill in sections 1, 3, 4, and 6 RE-ASSESSED CARD England ONLY; candidate’s card has expired in the last six months and candidate has passed re-assessment Please fill in sections 1 to 6 Certificates MUST be attached RETAKEN QUALIFICATIONS candidate’s card has expired more than six months ago and the candidate has re-sat full qualifications Please fill in sections 1 to 6 1: CANDIDATE DETAILS – Please complete in full PHOTO Please use glue only TITLE (Mr/ Mrs/ Miss/ Ms) FORENAMES(S) SURNAME DATE OF BIRTH (Enter DDMMYYYY) DATE STAMP CARD TYPE 2: AWARDING BODY REGISTRATION NUMBER (Required): 3: EXISTING SWQR REGISTRATION NUMBER: Tick here if card lost/ stolen 4: ADDRESS WHICH CARD IS TO BE SENT TO: ADDRESS TO LINE 1 LINE 2 TOWN POSTCODE CONTACT PHONE NUMBER MAIL CHECK LIST – For office use ONLY SWQR EXPIRY DATE DATA CHECKED PO CHECKED REASS QUALS CHCKD
SWQR_APPLICATION_FORM.docx