Provisional Non Domestic Gas Application

Applicant
Applicant Type
Full Name*
Trading Name (if different)
Date of Birth
DD slash MM slash YYYY
Personal Address (published on website if sole trader)
Telephone
Mobile
Email 1
Email 2
Web Address
Name of Employer (If Applicable)
Address of Employer or Business Address if Sole Trader
Further Details of Applicant
Are you currently a Registered Installer
Please enter your RGII Number
Nature of Business (tick one or both)
- LPG
- Natural Gas
Work Type
Gas works carried out in previous year:
Installations (please specify type)
Safety Checks
Single Appliance Fits
Repairs / Servicing
Accredited Certified Training
Do you hold a current (upload a copy of the certificates)
GID
GID (Gas Installation Domestic)
Certificate Issued By
Date of Qualification
DD slash MM slash YYYY
Attachment
Max. file size: 15 MB.
Untitled
DGS
DGS (Domestic Gas Safety)
Certificate Issued By
Date of Qualification
DD slash MM slash YYYY
Attachment
Max. file size: 15 MB.
Untitled
DGA
DGA (Domestic Gas Assessment)
Certificate Issued By
Date of Qualification
DD slash MM slash YYYY
Attachment
Max. file size: 15 MB.
Untitled
Other
Any other relevant Gas Qualification
Date of Qualification
DD slash MM slash YYYY
Attachment
Max. file size: 15 MB.
Untitled
Certified Trade Qualification
Do you hold a level 6 relevant National Craft Certificate or equivalent to Level 6 on the National Framework Qualifications (NFQ) in one of the following
Plumbing
Electrical
Gas Fitting
Refrigeration
Other
Attachment
Max. file size: 15 MB.
Employment History
Please begin with relevant non-domestic related gas work experience (most recent)
Name of employer
Address of employer
Employer's Phone
Date – From
DD slash MM slash YYYY
Date – To
DD slash MM slash YYYY
Untitled
Roles / Duties
Date – From
DD slash MM slash YYYY
Date – To
DD slash MM slash YYYY
Company
Position
Untitled
Date – From
DD slash MM slash YYYY
Date – To
DD slash MM slash YYYY
Company
Position
Untitled
Date – From
DD slash MM slash YYYY
Date – To
DD slash MM slash YYYY
Company
Position
Untitled
Date – From
DD slash MM slash YYYY
Date – To
DD slash MM slash YYYY
Company
Position
Untitled
Date – From
DD slash MM slash YYYY
Date – To
DD slash MM slash YYYY
Company
Position
Untitled
Safety Requirements
Do you possess a current copy of and have full knowledge of I.S 820
Do you possess a current copy of and have full knowledge of I.S 813
Do you possess a current copy of and have full knowledge of I.S. EN 1949
Do you agree to receive all communications, reminders and notifications from RGII by electronic media?
Where did you hear about this registration process?
Please note you may be called for an interview
Phone
This field is for validation purposes and should be left unchanged.

Applicant

Further Details of Applicant

Gas works carried out in previous year:

Accredited Certified Training

Do you hold a current (upload a copy of the certificates)

Certified Trade Qualification

Do you hold a level 6 relevant National Craft Certificate or equivalent to Level 6 on the National Framework Qualifications (NFQ) in one of the following

Employment History

Please begin with relevant non-domestic related gas work experience (most recent)

Roles / Duties

Safety Requirements

Please note you may be called for an interview