HSE OFFICER APPROVAL APPLICATION
For New Registration:Below documents to be scanned in color and submitted in a CD
1. Copy of passport with valid visa page2. Passport-size photograph3. Detailed CV4. Copy of attested educational
certificates5. Copy of experience certificate(s)6. Copy of HSE qualification certificates
For Renewal:1. Copy of passport with valid visa page
For Employer Change: 1. Copy of passport with valid visa page2. Existing registration card (if not expired)
For Upgrade Position:1. Copy of passport with valid visa page2. Existing registration card (if not expired)
For Replacement of Lost / Damaged Card:NA
For Linking/Delinking Plots: 1. Link Delink2. If Link, Plot No(s). to be linked:
If Delink, Plot No(s). to be delinked:
For HSE Officer App Username Change:1. Copy of passport with valid visa page
(if not submitted previously)2. Existing username (e-mail address)
New username (e-mail address)
Plot No. HSE Officer's ID No. (if any)
Contractor Name
Submission Type
New Registration Renewal Employer ChangeUpgrade Position
Replacement Of Lost/Damaged Card Linking/ Delinking PlotsHSE Officer App Username Change
DOCUMENTS REQUIRED
SR. NAME OF INSTITUTION LOCATION COURSEPERIOD
FROM TO
QUALIFICATIONS:
ZA-DC-F-34 Issue 7, Rev 1, Dated 18/12/2018 Page 1 of 2
PO Box 478844, Dubai, UAET +971 800-4-DDA (332) F +971 4 427 2449
dda.gov.ae
SR. NAME OF INSTITUTION LOCATION POSITIONPERIOD
FROM TO
EXPERIENCE:
Notes: - DDA Zoning Division shall bear no liability in registration of “HSE Officer” for genuinity of the attested educational certificates.- Requestor (HSE Officer) shall bear the full liability incase of forged educational certificates.
NAME
MOBILE
DATE
SIGNATURE
STAMP
HSE OFFICER DETAILS
NAME
MOBILE
DATE
SIGNATURE
STAMP
CONTRACTOR DETAILS
ZA-DC-F-34 Issue 7, Rev 1, Dated 18/12/2018 Page 2 of 2
PO Box 478844, Dubai, UAET +971 800-4-DDA (332) F +971 4 427 2449
dda.gov.ae