MRSE Certificate of Competence

Personal Information
Professional Information
Contact Information

(IPEM members: we will take this information from your existing membership record. Please ensure that this is up to date by logging in via MyIPEM.)

Including dept (if applicable) and postcode

Including postcode

Supporting Evidence

This should include the experience cross reference table and all relevant certificates. You may upload multiple documents

ALL applicants must complete the section below (please tick the appropriate boxes):

I wish to apply for the IPEM MRSE Certificate of Competence and declare that the information I have given in this application is to the best of my knowledge accurate and true. When acting in the role of an MR Safety Expert I will comply with any professional standards and registration requirements relevant to the context in which the advice is provided.