ADIA Health & Safety Awareness Course

Company Details

ADIA Member Company Name*

Company Representative Name (optional)

First Last

Representative Email Address (optional)

The Login / Course information will also be sent to this person additionally to the engineer.

This is useful to have a copy of the login details and information

Learner Details

Name

First Last

Learner Date of Birth*

Learner Mobile Number*

Email Address*

Enter Email Confirm Email

If this email address is already in use on the system please add a number to the end of the email addresses and we will forward the engineer the login details.

For example: if engineer@emailaddress.co.uk change to engineer@emailaddress.co.uk1

E-Learning Signup Details

Username*

This will be the username for the engineer to login to the Self Study Part of the course.

This has to be unique containing the engineers name and a number

Password*

Enter Password Confirm Password

Strength indicator

This will be the password that the engineer will use to login to their self study part of the course.

Please use a strong password by making the password a minimum of 6 characters, include special characters like $%& and capital letters

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Course Level