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: *

* First name should be Alphabets only !.

* Surname should be Alphabets only !.

Company Name: *

Job Title: *

* Job title should be Alphabets only !.

E-mail: *

Phone: *

* Not a valid email id!.

Extn.

* Please enter valid Phone No!.

Title

First Name: *

Surname: *

Company Name: *

Job Title: *

E-mail: *

Phone: *

Extn.

Password: *

* The password strenght/complexity error

Confirm Password: *

Password Strength

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

Account password must be a minimum of 12 characters in length.
Account password must contain at lease 1 uppercase letter, 1 lowercase letter, 1 numeric character and 1 special characters from ! @ # $ £ . % ^ & * ? _ ~ -