Form - NEBOSH

Please complete all fields to the best of your ability, even if some are not stated mandatory. Providing comprehensive information will assist us in verifying details more efficiently and reduce the need for additional follow-up questions.

* Mandatory Fields.

Section 1 - Current learner details as registered with NEBOSH

These learner details are required for NEBOSH to verify and locate the record and process any changes.

First name

Last name

Date of birth (DD/MM/YYYY)

Title

eg. Miss, Mrs, Mr

Email address

Learner number

Learning Partner studied with

Optional.

NEBOSH qualification(s) studied

Optional.

Postal Address

Please include postcode/ZIP code

Contact Telephone Number

Section 2 – Confirm updates required

Tick below the details which you require to be updated on your learner record. You can tick more than one detail to be updated if required.

Details that need to be updated

Name
Title
Date of Birth
Email Address
Postal Address
Contact Telephone Number

Section 3 - Updated learner details

Based on the details you have selected to be updated in Section 2, please confirm the updated details in the relevant sections below.

First name

Optional.

Last name

Optional.

Title

Optional.

Date of birth (DD/MM/YYYY)

Optional.

Email address

Optional.

Postal Address

Optional. Please include postcode/ZIP code

Contact Telephone Number

Optional.

Section 4 – Upload identification and any supporting documentation

Photographic Identification is required for NEBOSH to verify your record and process any changes. Suggested forms of ID

Passport - preferred
Driving Licence
If the above forms are not available, then we may accept:
PAN Card. This is a 'permanent account number' issued for tax purposes
Aadhar Card/ UID Card. This is an ID scheme set up by the GoI in 2009

Upload ID

Second document upload (if required)

Optional.

Supporting evidence regarding name change for legal purposes (eg. marriage, divorce or by deedpoll)

Optional. Name change requests for legal purposes require a supporting piece of ID to confirm the previous and current name, such as Birth Certificate, Marriage Certificate, Decree Absolute, Deed Poll Evidence

Submit