CITB Test Booking Form CITB Test Booking FormCITB Test- Choose Course Date -Sunday 02/11/2025Wednesday 05/11/2025Sunday 09/11/2025Wednesday 12/11/2025Sunday 16/11/2025Wednesday 19/11/2026Sunday 23/11/2025Wednesday 26/11/2026Sunday 30/11/2025Wednesday 03/12/2025Sunday 07/12/2025Wednesday 10/12/2025Sunday 14/12/2025Wednesday 17/12/2025Sunday 21/12/2025Wednesday 24/12/2025Sunday 28/12/2025Wednesday 31/12/2025Sunday 04/01/2026Type of Card Needed (Full Name)- Select -LabourerApprenticeManagerExperienced WorkerIndustry PlacementBlue Skilled WorkerTraineeGold Skilled WorkerSupervisoryProfessionally Qualified PersonAcademically Qualified PersonProvisional (temporary only)Experienced Technical, Supervisor or ManagerType of Test- Select -Health, safety and environment test for managers and professionalsHealth, safety and environment test for operativesHealth, safety and environment specialist demolition testHealth, safety and environment specialist HVACR test (ductwork)Health, safety and environment specialist HVACR test (heating & plumbing)Health, safety and environment specialist highway works testHealth, safety and environment specialist lifts and escalators testHealth, safety and environment specialist HVACR test (pipefitting and welding specialist test)Health, safety and environment specialist plumbing (JIB) testHealth, safety and environment specialist HVACR test (refrigeration and air conditioning specialist test)Health, safety and environment specialist HVACR test (services & facilities)Health, safety and environment specialist supervisors testHealth, safety and environment specialist tunnelling testHealth, safety and environment specialist working at height testTitle- Select -Mr.Mrs.Ms.First NameMiddle NameLast NameGender- Select Gender-MaleFemaleDate of BirthEmailPhone/MobileCountry/Region: United Kingdom (UK)AddressStreet addressTown / CityPostcodeHow did you hear about us.? (optional)Does the candidate have any special requirements or disabilities? (optional)- Yes/No -YesNoPlease Explain (optional)National Insurance NumberDo you hold a CSCS card or previously held one?- Select -YesNoCard NumberHas your name been changed? (due to changing marital status, etc).- Select -YesNoPlease state your previous name. (optional)Please state your actual name. (optional)ID (Driving Licence or Passport )Choose File Payment ItemPrice: £60.00Pay with Card (Stripe)Submit Form
