Electronic Security Competence Form for Qualifying Manager
Please answer ALL questions using CAPITALS (If an entry is not applicable insert ‘NO’ or ‘N/A’)
Section 1 Personal information
Surname (family name)	Title (Mr/Mrs/Miss/Ms/other)
All forenames
Section 2 Current employment
Name of company
Address
Post code	Your office email
Telephone no
Current job title	Reporting to
Date employment commenced
What is your role with regard to this application (please tick the box as required or state Other)	Qualifying Manager	☐
Security Screening	☐
Other
Sections 3 Qualifications and industry experience
3.1 Qualifications List below Vocational, Trade, Apprenticeship or Professional Qualifications
3.2 Intruder Alarm Systems (complete as appropriate)
3.2.1 Summary of relevant training Note: The purpose of this summary is to demonstrate the extent and nature of the Qualifying Manager’s training in Intruder Alarm Systems. This should make reference to relevant British Standards, Codes of Practice, etc.
3.2.2 Summary of responsible experience (including relevant previous employment) Note: The purpose of this summary is to demonstrate that technical competence has been developed and that a satisfactory range of experience has been attained.
3.3 Access Control Systems (complete as appropriate)
3.3.1 Summary of relevant training Note: The purpose of this summary is to demonstrate the extent and nature of the Qualifying Manager’s training in Access Control Systems. This should make reference to relevant British Standards, Codes of Practice, etc.
3.3.2 Summary of responsible experience (including relevant previous employment) Note: The purpose of this summary is to demonstrate that technical competence has been developed and that a satisfactory range of experience has been attained.
3.4 CCTV Systems (complete as appropriate)
3.4.1 Summary of relevant training Note: The purpose of this summary is to demonstrate the extent and nature of the Qualifying Manager’s training in CCTV Systems (e.g. Has an ICEL Competent Engineers course or equivalent been attended and exam passed?) This should make reference to relevant British Standards, Codes of Practice, etc.
3.4.2 Summary of responsible experience (including relevant previous employment) Note: The purpose of this summary is to demonstrate that technical competence has been developed and that a satisfactory range of experience has been attained.
3.5 Detector Activated CCTV Systems to BS 8418 (complete as appropriate)
3.5.1 Summary of relevant training Note: The purpose of this summary is to demonstrate the extent and nature of the Qualifying Manager’s training in Detector Activated CCTV Systems. This should make reference to relevant British Standards, Codes of Practice, etc.
3.5.2 Summary of responsible experience (including relevant previous employment) Note: The purpose of this summary is to demonstrate that technical competence has been developed and that a satisfactory range of experience has been attained.
3.6 Scaffolding Alarms (complete as appropriate)
3.7.1 Summary of relevant training Note: The purpose of this summary is to demonstrate the extent and nature of the Qualifying Manager’s Scaffolding Alarms training. This should make reference to relevant British Standards, Codes of Practice, etc.
3.7.2 Summary of responsible experience (including relevant previous employment) Note: The purpose of this summary is to demonstrate that technical competence has been developed and that a satisfactory range of experience has been attained.

DECLARATION
For the purposes of compliance with current data protection legislation and generally, I acknowledge and certify as follows:
4.1	I have completed this form myself and all the information is correct;
4.2	I acknowledge that the information and data set out in this form is required by NSI in connection with and for the purposes of the appraisal by NSI for an application for approval or continuation of approval;
4.3	I consent to the processing by NSI of the information and data contained in this form for the purposes set out in 4.2 above;
4.4	I agree that NSI (or any agency appointed by it) may make any enquires in relation to this information and data for the purposes of verifying it;
4.5	I agree that NSI may disclose the information and data contained in this form for any purpose in connection with this application for approval or continuation of NSI Approval, or in connection with any other application for Approval or request for continuation of Approval. For more information about how NSI processes data and the lawful bases for processing, please refer to the NSI Privacy Notice on the NSI website.

Signed (this form can be printed before signing)	Name in full	Date (dd/mm/yyyy)