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Contractor Registration

Step 1 of 18

5%
  • (if applicable)
  • This is a requirement of the NSAI ETICS scheme
  • Max. file size: 5 MB.
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  • Business Details

  • normal format - (083 123 4567)
  • include your employees, self-employed workers, temporary staff
    Please enter a number greater than or equal to 1.
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  • Additional Business contact information

    fill in as relevant
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  • Health & Safety

    We require as copy of your company Safety Statement - if you do not have one, then Premium Facades can offer this to you for a nominal cost of €150.
  • Max. file size: 5 MB.
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  • Digital paperwork

    Premium Facades use a mobile app to replace paper forms. We require an email address from you which you will use on this app while working with our certified ETIC system. This email address should be accessible to you for receiving email - copies of your completed forms will be sent to this address. Your installation operative staff will also use this email as the login username to the Fastfield Forms shared account you use for gathering information and submitting your project paperwork while using the Premium Facades ETICS systems for your customer installations.
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  • Supervisor #1 details

  • Max. file size: 5 MB.
  • DD slash MM slash YYYY
  • please enter in the international format 3538312345678
  • if you do not provide this now, you will be required to produce this by email after submitting this form.
    Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.
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  • Supervisor #2 details

  • Max. file size: 5 MB.
  • DD slash MM slash YYYY
  • please enter in the international format 3538312345678
  • if you do not provide this now, you will be required to produce this by email after submitting this form.
    Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.
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  • Supervisor #3 details

  • Max. file size: 5 MB.
  • DD slash MM slash YYYY
  • please enter in the international format 3538312345678
  • if you do not provide this now, you will be required to produce this by email after submitting this form.
    Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.
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  • Installation Operative #1 details

  • Max. file size: 5 MB.
  • DD slash MM slash YYYY
  • please enter in the international format 3538312345678
  • if you do not provide this now, you will be required to produce this by email after submitting this form.
    Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.
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  • Installation Operative #2 details

  • Max. file size: 5 MB.
  • DD slash MM slash YYYY
  • please enter in the international format 3538312345678
  • if you do not provide this now, you will be required to produce this by email after submitting this form.
    Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.
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  • Installation Operative #3 details

  • Max. file size: 5 MB.
  • DD slash MM slash YYYY
  • please enter in the international format 3538312345678
  • if you do not provide this now, you will be required to produce this by email after submitting this form.
    Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.
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  • Installation Operative #4 details

  • Max. file size: 5 MB.
  • DD slash MM slash YYYY
  • please enter in the international format 3538312345678
  • if you do not provide this now, you will be required to produce this by email after submitting this form.
    Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.
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  • Installation Operative #5 details

  • Max. file size: 5 MB.
  • DD slash MM slash YYYY
  • please enter in the international format 3538312345678
  • if you do not provide this now, you will be required to produce this by email after submitting this form.
    Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.
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  • Installation Operative #6 details

  • Max. file size: 5 MB.
  • DD slash MM slash YYYY
  • please enter in the international format 3538312345678
  • if you do not provide this now, you will be required to produce this by email after submitting this form.
    Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.
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  • Installation Operative #7 details

  • Max. file size: 5 MB.
  • DD slash MM slash YYYY
  • please enter in the international format 3538312345678
  • if you do not provide this now, you will be required to produce this by email after submitting this form.
    Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.
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  • Installation Operative #8 details

  • Max. file size: 5 MB.
  • DD slash MM slash YYYY
  • please enter in the international format 3538312345678
  • if you do not provide this now, you will be required to produce this by email after submitting this form.
    Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.
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  • Insurance details

    Please tick if you have the following insurances
  • Max. file size: 5 MB.
  • Max. file size: 5 MB.
  • Max. file size: 5 MB.
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  • Declarations

  • I confirm that the information given by me in the form above is true and correct.
  • I agree to providing Premium Facades with the necessary documentation listed throughout this form. Until such time as all necessary documents have been provided and validated, I understand and acknowledge that I may not be certified to install ETICS products under the Premium Facades Agrement Certification.
  • On a phone, please rotate your screen to landscape before signing.
    Reset signature Signature locked. Reset to sign again
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