MrMrsMissMs
First name:
Last name:
Maiden/other name forcertificate if different :
Home address :
Post Code :
Tick if outside UK Yes, I am outside the UK
Daytime Tel :
Mobile Tel :
Email :
Please tick if you wish to be included on the website search feature I would like to be included in the website's Find A Salon search feature
Name & address of present Salon or workplace:
Website address :
Time at present Salon: years Months
Total time as Hairdresser: years Months
Please tick all relevant boxes: GentsLadiesAfroChildren
You can upload files or scans of your certificate/document(s) here:
How did you hear about State Registration? (TV, Internet, newspaper, word-of-mouth, etc)