Contractor Application form Sika 1 Render - Registered Waterproofing Contractor Scheme Need Help? If you have any questions or problems completing the form – please call our Waterproofing Support team on 01707 394444 or email waterproofing@uk.sika.com. 1Contact Details2Contractor Info3Project History4Key Personnel5Uploads and Declaration Contact DetailsName* First Last Email* Enter Email Confirm Email Position*Telephone Number*Company DetailsCompany Name*Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Company Telephone*Company FaxCompany Email* Enter Email Confirm Email Company website Head officeDoes your company head office address differ from the address above? Yes Head office address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Number of branches Geographical Regions*Please tick which region(s) you currently operate. Scotland North West England North East England West Midlands East Midlands South West England South East England London Wales Scope of ActivitiesWaterproofing activities - Please tick which products below you currently regularly install. Waterproof Membrane Waterproof Render Cavity Drain Waterproof Slurry Resin Injection Damp Proofing Watertight Concrete Polyurethane Product Interest*Please let us know which of the following you're interested in become registered for.Currently only Sika 1 Pre-bagged is available on this scheme. Other products may be introduced in the future, so please speak to your Sika representative for more information. Sika 1 Pre-bagged SikaProof Sika BentoShield Sika Watertight Concrete Sika Cavity Drain Sikaplan Sikaliastic (Polyurea & Polyurethane) Turnover last 4 yearsPlease let us know the total company turnover and the total turnover from just the waterproofing part of the company.Current year - Total company turnover*Waterproofing only turnover*Previous year 1 - Total company turnover*Waterproofing only turnover*Previous year 2 - Total company turnover*Waterproofing only turnover*Previous year 3 - Total company turnover*Waterproofing only turnover*Contract ValuePlease tick what size projects you typically undertake.Total Contract Value* £1,000 - £25,000 £25,000 - £100,000 £100,000+ Waterproofing Value of Contract* £1,000 - £5,000 £5,000 - £25,000 £25,000+ Project HistoryPlease give details below for a maximum of 5 previous waterproofing projects.Project 1 DetailsProject 1Project Name*Completion Date*DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Waterproofing Products Used (Name/Brand)*Company Name of Supplier*Waterproofing Contract Value*Project Location*Case Study Available?* Yes No Add project Add second project Project 2 DetailsProject 2Project Name*Completion Date*DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Waterproof Products Used (Name/Brand)*Company Name of Supplier*Waterproofing Contract Value*Project Location*Case Study Available?* Yes No Add Project* Add third project Project 3 DetailsProject 3Project Name*Completion Date*DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Waterproof Products Used (Name/Brand)*Company Name of Supplier*Waterproofing Contract Value*Project Location*Case Study Available?* Yes No Add project Add fourth project Project 4 DetailsProject 4Project Name*Completion Date*DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Waterproof Products Used (Name/Brand)*Company Name of Supplier*Waterproofing Contract Value*Project Location*Case Study Available?* Yes No Add project Add fifth project Project 5 DetailsProject 5Project Name*Completion Date*DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Waterproof Products Used (Name/Brand)*Company Name of Supplier*Waterproofing Contract Value*Project Location*Case Study Available?* Yes No Key PersonnelPlease enter up to 10 key personnel within the company below.Full Name*Position*Full Name*Position*Full Name*Position*Full Name*Position*Full Name*Position*Full NamePositionFull NamePositionFull NamePositionFull NamePositionFull NamePosition Company PoliciesPlease ensure copies of as many of the policy documents below are upload as part of your application.Health & Safety Policy*Accepted file types: pdf, doc, docx, txt, xls, xlsx, ppt, pptx, Max. file size: 5 MB. Quality Policy*Accepted file types: pdf, doc, docx, txt, xls, xlsx, ppt, pptx, Max. file size: 5 MB. Training Policy*Accepted file types: pdf, doc, docx, txt, xls, xlsx, ppt, pptx, Max. file size: 5 MB. Environmental Policy*Accepted file types: pdf, doc, docx, txt, xls, xlsx, ppt, pptx, Max. file size: 5 MB. Public Liability Insurance Policy*Accepted file types: pdf, doc, docx, txt, xls, xlsx, ppt, pptx, Max. file size: 5 MB. Professional Indemnity Insurance Policy*Accepted file types: pdf, doc, docx, txt, xls, xlsx, ppt, pptx, Max. file size: 5 MB. PaymentPayment method* Cheque BACS Make cheques payable to Sika Limited (£180 inc Vat).Post cheques to Sika Limited, Watchmead, Welwyn Garden City, Al7 1BQ. Please mark for the attention of Sam Abernethy.Please write on the back of the cheque 'Waterproofing Registered Contractor Scheme' along with your application reference number, eg Sika RWCS 01. Your application reference number is available on submission of the online form. It can be found on either the confirmation page or confirmation email you will receive after a successful submission.Transfer a fee of £180 (inc VAT) to the Sika Limited, Account No: 12735083 Sort Code: 18-50-08.Please use Sika RWCS along with your application reference number as your transfer reference. eg Sika RWCS 01. Your application reference number is available on submission of the online form. It can be found on either the confirmation page or confirmation email you will receive after a successful submission.Please note: this fee is non refundable. Upon receipt of your application if successful your local Sika representative will arrange a meeting to discuss the full requirements of the Sika registered contractor scheme.DeclarationIn the event of being accepted for the Sika Registered Contractors Scheme, we undertake to demonstrate our ability to meet and maintain the requirements of the scheme.Agree to declaration* I agree Data Protection act 1998 Your signature authorises that we may request and record information from a credit reference agency/third party regarding your business and/or principle directors, partners. We may also monitor and record information relating to your credit performance and such information may be available to other organisations to access applications for credit.Please note: Sika has the right to refuse any application based on the criteria submitted or any further information post-application.
