Preliminary Registration Form

Preliminary Registration Form for parties interested in participating in the regeneration of the former Lec site at Shripney Road, Bognor Regis, PO22 9NG

If you have any queries on this form or wish to discuss, please contact:

Ian Ball, Hampshire Construction Services Ltd.

Tel: 02380 894 695 e-mail: ian@hcssafety.co.uk

Name of Organisation:
Company Registration number (if applicable):
Registered Address (inc postcode):
Correspondence Address (inc postcode):
Telephone:
Mobile:
Fax:
Email:
Website:
Contact Person(s):

Insurances:
Employer's Liability Insurance and value:		£
Third Party Liability Insurance and value:		£
Contract Works Insurance and value:		£
Professional Indemnity Insurance and value:		£
Others:

Nature of interest (brief description of how your organisation can help towards the successful redevelopment of the former Lec site):

Experience (brief description of relevant experience):

Capability (brief description of manpower, skills, plant & equipment/tools, techniques, etc that are relevant):

Certification (provide brief details of certification e.g. Health & Safety (ISO18001), Environmental Management (ISO14001), Quality Management (ISO9001) or other relevant industry certification such as CHAS, Exor, CSCS card, etc. (Organisations that do not have appropriate health and safety arrangements cannot be considered.):

Any other relevant information/comments: