Register

Contact Details

To create a registration form, you will require to fill out the form and provide contact details along with the company and premises details. By providing your contact details you will also be creating an account so that you are able to update the registration at any time.

Your form details are not saved until you complete the confirmation stage of the form.

For more help on this form please go to the Help page (opens in new window).

If you update your details please complete the Declaration so that an updated Cetificate can be sent to you. If you need assistance, please refer to the Updating your Registation Help page (opens in new window).

Contact Details
Company Details
Add Premises Manually
Add Premises by file
View Your Premises
Confirmation
Finish

Contact details

Title *

First Name *

Last Name *

Contact Phone Number *

The Phone number by which we can make contact with you.

Email address *

The email address by which we can make contact with you. This is the email that your certificate will be sent to.

Confirm Email address *

Username *

Choose a username which you will use to login and make any changes in the future to your registration. You will need to remember your username. It must be unique.

Password *

Confirm Password *

Warning

Check that you have all the correct information. Failure to do so may result in your registration application failing. It is an offence for an unregistered person to retail tobacco products. Please tick the box to confirm that you have understood.