IRATA - Application For Registration | Heightworks | Work At Height Training Company

IRATA - Application For Registration

Title First Name Last Name Email Contact Telephone Number Home Address Date Of Birth IRATA Course Start Date IRATA Number (For new candidates enter N/A) Level To Which Assessed Expiry Date (For new candidates please ignore) IRATA Log Book Serial Number (For new candidates enter N/A) Other comments or special requirements of candidate (confidential) Logged Hours To Date (For new candidates enter N/A) Previous FM-025 Serial Number if failed within the last 60 days. (Leave blank if not applicable) Emergency Contact Name Emergency Contact Telephone Number Medical Conditions Medication Allergies Terms & Conditions The candidate must have their logbook with them on day 1 of training. (This applies to all candidates that hold or have held in the past an IRATA qualification. Failure to do so will result in no assessment). If upgrading, candidates must have a minimum 1000 hours recorded in their logbook and a minimum of 12 months at their current level. The candidate must have a Government issued ID, and be at least 18 years of age on day 1 of training. Please confirm to accept the above and register: