BSI Client Portal - User Registration

Create a New Account
Please fill out the form below to register for an account.
Please provide two contact details to create an account; you and an alternative. An alternative contact name is required only for situations where you may not be available.

Contact Information

Title

First Name: *

Surname: *

Company Name: *

Job Title: *

E-mail: *

Phone: *

Extn.

Title

First Name: *

Surname: *

Company Name: *

Job Title: *

E-mail: *

Phone: *

Extn.

Password: *

Confirm Password: *

Please note that the new password must conform to the following rules:

Account password must be a minimum of 10 characters in length.
Account password must contain at lease 1 uppercase letter, 1 lowercase letter, 1 numeric character and 1 special characters from ! @ # $ % ^ & * ? _ ~ -