Nebosh Online Registration - Global Consulting

NEBOSH International General Certificate (IGC)

Registration & Intake Form

"*" indicates required fields

Personal Information

Title*

First Name (As Shown in Passport/ID)*

Surname (As shown in passport/ID)*

Gender*

Nationality*

Date of Birth*

Identification Card/ Passport Number*

Job Title

Company Name

Mailing Address & Contact Details

Building / Apartment / House No. & Floor (Ground, First, Second)*

City*

CityState/Province/District*

ZIP / Postal Code*

Nationality*

Provided Address*

WhatsApp Number*

Telephone (Phone)*

Previous Learner Partner Number and Name*

Learner Number*

Qualification Name*

Unit Resit

Reason for resit the exam*

Course

Course*

Preferred session*

Reason for Taking this Course*

Date*

Mode of Study*

Declaration of Educational

Please indicate your final level of formal learning*

English Language Proficiency*

NEBOSH recommends that candidates should reach the equivalent of a scoring of 6.0 or higher under the International English Language, Please rate your level of proficiency in English language

Pre Consulting

Question 1: English Language Proficiency*

Please describe a workplace safety hazard in English. How would you explain the hazard and the required safety precautions to a colleague who is unfamiliar with the work activity?

Question 2: General Understanding of Health and Safety*

Why is it important to identify workplace hazards before starting a task? Please explain how hazard identification and risk assessment can help prevent accidents and injuries.

Question 3: Knowledge of Your Selected Course*

What qualification or course have you selected, and what knowledge or skills do you expect to gain from it? How will this qualification support your career in health and safety?

Question 4: Practical Application in Safety and Health*

Suppose you observe a worker performing a task without the required personal protective equipment (PPE). What immediate action would you take, and how would you report and communicate the issue to your supervisor?

National Identity Card Front/Passport*

Drop files here or

Max. file size: 5 MB, Max. files: 1.

National Identity Card Back/Passport*

Drop files here or

Max. file size: 5 MB, Max. files: 1.

Photo Passport Size*

Drop files here or

Max. file size: 5 MB, Max. files: 1.

Last Education Degree*

Drop files here or

Max. file size: 5 MB, Max. files: 1.

Previous NEBOSH Result Card (in case of resit)

Drop files here or

Max. file size: 5 MB, Max. files: 1.

Payment Details

Select Account*

Reason for using this account*

If you are using someone else’s account to pay the fee (i.e., the account holder is not the learner enrolling in the course), you must provide the account holder’s ID and the reason for using their account in this section.

Account Holder ID Front*

Drop files here or

Max. file size: 5 MB, Max. files: 1.

Account Holder ID Back*

Drop files here or

Max. file size: 5 MB, Max. files: 1.

Transaction Slip*

Drop files here or

Max. file size: 5 MB.

Transaction ID (mentioned in your slip.)*

Account Holder Name*

Amount*

Communication

Select a communicate method*

Fee Details

How much fee were you told for selected course from GSE

What was the final agreed fee with GSE*

Misleading Affiliation Claims

Has any person or organization told you that GSE is their partner, sister company, parent company, or business partner? (Some organizations are falsely using the name of GSE, misleading learners.)

Declaration

Name (As per your ID)*

Current Date (Today)*

Digital Signature*

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