Shaping the future together

Standard SRH Application

 

Fields in red are required.

    Personal Information

    First name:

    Last name:

    Maiden/other name for
    certificate if different :

    Home address :

    Post Code :

    Tick if outside UK
    Yes, I'm 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

    Hairdressing Experience

    Name & address of present Salon or workplace:

    Post Code :

    Daytime Tel :

    Email :

    Website address :

    Time at present Salon:
    years

    Months

    Total time as Hairdresser:
    years

    Months

    Please tick all relevant boxes:

    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)