Fire industry competence form for Qualifying Manager / Nominated Designer
TO BE COMPLETED WHEN APPLYING FOR ‘KITCHEN FIRE PROTECTION SYSTEMS’
This form is confidential when completed Please answer ALL questions using CAPITALS (If an entry is not applicable insert ‘NO’ or ‘N/A’)

Section 1 Personal Information
Surname (family name)	Title (Mr/Mrs/Miss/Ms/other)
All Forenames

Section 2 Current Employment
Name of company
Address
Post code	Your office email
Telephone number	Reporting to
Current job title
Date employment commenced	Click here to enter a date.
What is your role with regard to this application (please check the box as required)	Qualifying Manager
Nominated Designer

Section 3 Qualifications and Industry Experience
3.1 Qualifications List relevant vocational, trade, apprenticeship, professional and manufacturer’s training and qualifications:
3.2 BAFE SP206 Kitchen Fire Protection Systems Training
Please provide a copy of the ‘Original Equipment Manufacturer’s’ certificate of training:	☐
3.3 Summary of responsible experience (including relevant previous employment) Note: The purpose of this summary is to demonstrate that technical competence has been developed and that a satisfactory range of experience has been attained.

Section 4 Declaration
For the purposes of compliance with current data protection legislation and generally, I acknowledge and certify as follows:
4.1	I have completed this form myself and all the information is correct;
4.2	I acknowledge that the information and data set out in this form is required by NSI in connection with and for the purposes of the appraisal by NSI for an application for approval or continuation of approval;
4.3	I consent to the processing by NSI of the information and data contained in this form for the purposes set out in 4.2 above;
4.4	I agree that NSI (or any agency appointed by it) may make any enquires in relation to this information and data for the purposes of verifying it;
4.5	I agree that NSI may disclose the information and data contained in this form for any purpose in connection with this application for approval or continuation of NSI Approval, or in connection with any other application for Approval or request for continuation of Approval. For more information about how NSI processes data and the lawful bases for processing, please refer to the NSI Privacy Notice on the NSI website.
Signature	Name in full	Date
Click here to enter a date.

Please submit this form by email to: applications@nsi.org.uk or your NSI Head Office contact