CINXE.COM

<!DOCTYPE html> <html xml:lang="en" lang="en"><head> <title>Create a new account - Food Standards Agency</title> <base href="https://fsa-services-eng-forms.food.gov.uk/" /> <meta name="viewport" content="width=device-width, initial-scale=1" /> <link rel="shortcut icon" href="/image/96/FSA-Icon---Colour/favicon.png?m=1642586030717" /> <link rel="apple-touch-icon" sizes="32x32" href="/image/96/FSA-Icon---Colour/appletouchiconsmall.png?m=1642586030717" /> <link rel="apple-touch-icon" sizes="76x76" href="/image/96/FSA-Icon---Colour/appletouchiconmedium.png?m=1642586030717" /> <link rel="apple-touch-icon" sizes="152x152" href="/image/96/FSA-Icon---Colour/appletouchiconlarge.png?m=1642586030717" /> <script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-MDJZR6B');</script> <script> window["ga-disable-G-P56FW0Z6NT"] = true; 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} GOSSForms.forms.push("CITIZENSIMPLESIGNUPEXAMPLE"); </script> <script type="text/javascript" src="https://fsa-services-eng-forms.food.gov.uk/apiserver/files/staticformcache/CITIZENSIMPLESIGNUPEXAMPLE-307/2024-03-04T04.56.08Z/f/BusySpinnerRuntimeMin.js"></script> <script type="text/javascript" src="https://fsa-services-eng-forms.food.gov.uk/apiserver/files/staticformcache/CITIZENSIMPLESIGNUPEXAMPLE-307/2024-03-04T04.56.08Z/f/FormRuntimeMin.js"></script> <script type="text/javascript" src="https://fsa-services-eng-forms.food.gov.uk/apiserver/files/staticformcache/CITIZENSIMPLESIGNUPEXAMPLE-307/2024-03-04T04.56.08Z/f/JSONRuntime.js"></script> <script type="text/javascript"> /* <![CDATA[ */ // Backward compatibility var CITIZENSIMPLESIGNUPEXAMPLEValidator = {}; CITIZENSIMPLESIGNUPEXAMPLEValidator["ERRCALLBACKS"] = []; CITIZENSIMPLESIGNUPEXAMPLEValidator["USERNAME"] = {}; // Backward compatibility Ends var CITIZENSIMPLESIGNUPEXAMPLEFormData = "eyJfUEFHRU9SREVSXyI6W10sIlVTRVJOQU1FXzEiOnsiRU1BSUwiOiIifX0="; var CITIZENSIMPLESIGNUPEXAMPLEPageHistory = "W10="; var CITIZENSIMPLESIGNUPEXAMPLEFieldNameMapping = [{"pageName":"USERNAME","fieldsLong":["RETURNURL","PINSOURCE","PINFAILS","PINSENT","FIELD2","EMAIL","FIELD5","EMAILPIN","CHECKPINSENT"],"fieldsShort":["RETURNURL","PINSOURCE","PINFAILS","PINSENT","FIELD2","EMAIL","FIELD5","EMAILPIN","CHECKPINSENT"]},{"pageName":"VALIDATE","fieldsLong":["FIELD54","PINENTRY","FIELD4","PIN","PINWARNING","VALIDATEPIN","FIELD38","PINFAILED","VALIDATEPIN2","FIELD48"],"fieldsShort":["FIELD54","PINENTRY","FIELD4","PIN","PINWARNING","VALIDATEPIN","FIELD38","PINFAILED","VALIDATEPIN2","FIELD48"]},{"pageName":"USEREXISTS","fieldsLong":["FIELD56","FIELD57","USEREXISTSLOGINBUTTON","USEREXISTSREDIRECTACTION"],"fieldsShort":["FIELD56","FIELD57","USEREXISTSLOGINBUTTON","USEREXISTSREDIRECTACTION"]},{"pageName":"PROFILE","fieldsLong":["FIELD33","FIELD40","PREFNAME","FIELD39","EMAILUSER","CREATEUSER"],"fieldsShort":["FIELD33","FIELD40","PREFNAME","FIELD39","EMAILUSER","CREATEUSER"]},{"pageName":"PASSWORD","fieldsLong":["FIELD49","FIELD27","FIELD21","FIELD9","FIELD55","PASSWORD","CONFIRMPASSWORD","FIELD10","FIELD11"],"fieldsShort":["FIELD49","FIELD27","FIELD21","FIELD9","FIELD55","PASSWORD","CONFIRMPASSWORD","FIELD10","FIELD11"]},{"pageName":"THANKS","fieldsLong":["FIELD50","FIELD13","LOGINBUTTON","REDIRECTACTION"],"fieldsShort":["FIELD50","FIELD13","LOGINBUTTON","REDIRECTACTION"]}]; var CITIZENSIMPLESIGNUPEXAMPLESerializedVariables = "eyJSRVRVUk5VUkwiOnsidmFsdWUiOiIiLCJzY29wZSI6IlNFUlZFUkNMSUVOVCJ9fQ=="; var CITIZENSIMPLESIGNUPEXAMPLECustomCode = {}; var CITIZENSIMPLESIGNUPEXAMPLErtConfig = { formName : "CITIZENSIMPLESIGNUPEXAMPLE", formDescription : "Simple Sign Up Example", currentPageName : "USERNAME", currentPageInstance : 0, runtimeMode : "CLIENT", renderMode: "normal", validationMode : "SUBMITONLY", highlightValid : false, traceEnabled : false, disableAutoFocus : false, formData : CITIZENSIMPLESIGNUPEXAMPLEFormData, pageHistory : CITIZENSIMPLESIGNUPEXAMPLEPageHistory, fieldNameMapping : CITIZENSIMPLESIGNUPEXAMPLEFieldNameMapping, pageDetails : [{"pageName":"USERNAME","pageTitle":"","isRepeatable":false,"minInstances":null,"maxInstances":null,"validateInstanceCount":false,"mode":null},{"pageName":"VALIDATE","pageTitle":"","isRepeatable":false,"minInstances":null,"maxInstances":null,"validateInstanceCount":false,"mode":null},{"pageName":"USEREXISTS","pageTitle":"","isRepeatable":false,"minInstances":null,"maxInstances":null,"validateInstanceCount":false,"mode":null},{"pageName":"PROFILE","pageTitle":"","isRepeatable":false,"minInstances":null,"maxInstances":null,"validateInstanceCount":false,"mode":null},{"pageName":"PASSWORD","pageTitle":"","isRepeatable":false,"minInstances":null,"maxInstances":null,"validateInstanceCount":false,"mode":null},{"pageName":"THANKS","pageTitle":"","isRepeatable":false,"minInstances":null,"maxInstances":null,"validateInstanceCount":false,"mode":null}], custom : CITIZENSIMPLESIGNUPEXAMPLECustomCode, legacyValidators : CITIZENSIMPLESIGNUPEXAMPLEValidator, inIcmEnv : false, allowIcmPanelControls : false, serializedPersistentVariables : CITIZENSIMPLESIGNUPEXAMPLESerializedVariables, hasProxyUser: false, serverid : null, serverTraceFn : null, fieldLabelMarker: "required", fieldLabelOptionalText: "(optional)" }; // Note that the variable containing the run time may already exist, since certain libraries loaded via script tags may define properties when they are loaded // Supplying it as the second parameter to createFormRuntime will ensure any properties are not lost var CITIZENSIMPLESIGNUPEXAMPLEForm = createFormRuntime( CITIZENSIMPLESIGNUPEXAMPLErtConfig, CITIZENSIMPLESIGNUPEXAMPLEForm ); CITIZENSIMPLESIGNUPEXAMPLEForm.registerFieldValidatorFn( "EMAIL", function( form) { var valResult = { FIELDID: "CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAIL", NAME: "EMAIL", VALID: true, ERRMSG: "" }; if ( CITIZENSIMPLESIGNUPEXAMPLEForm.isServer() && form.CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAIL == undefined ) { throw new Error("No value in submitted data for field: EMAIL during server-side validation"); } if ( form.CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAIL.value !== undefined ) { if ( (valResult.VALID) && (form.CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAIL.value == "") ) { valResult.VALID = false; } if ( (valResult.VALID) && (form.CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAIL.value.length > 255) ) { valResult.VALID= false; } if ( (valResult.VALID) && (form.CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAIL.value != "") && (!/^([a-zA-Z0-9.!#$%&'*+-/=?^_`{|}~])+@(([a-zA-Z0-9-])+\.)+([a-zA-Z0-9]{2,4})+$/.test(form.CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAIL.value)) ) { valResult.VALID= false; } } else { valResult.VALID = false; } if ( !valResult.VALID ) { valResult.DESC = "Your email"; valResult.ERRMSG= "This doesn't look like a valid email address" ; } return valResult ; });CITIZENSIMPLESIGNUPEXAMPLEForm.registerPageValidatorFn( function ( form ) { var f,orderedFields=["RETURNURL","PINSOURCE","PINFAILS","PINSENT","FIELD2","EMAIL","FIELD5","EMAILPIN","CHECKPINSENT"],valFailures = [],valResult,valFunction,valMsg=""; for ( f = 0; f < orderedFields.length; f++ ) { CITIZENSIMPLESIGNUPEXAMPLEForm.validateField( orderedFields[f], form, valFailures ); // Invoke any legacy validators if (CITIZENSIMPLESIGNUPEXAMPLEValidator["USERNAME"][orderedFields[f]] !== undefined) { valFunction = CITIZENSIMPLESIGNUPEXAMPLEValidator["USERNAME"][orderedFields[f]]; valResult = valFunction( form ); if ( !valResult.VALID) { valFailures.push( valResult ); } } } return valFailures; } ); function validateFormCITIZENSIMPLESIGNUPEXAMPLE( form ) { return CITIZENSIMPLESIGNUPEXAMPLEForm.validateFormClient( form ); } /* ]]> */ </script> </head><body class="pageload template--formsservice status status--anonymous" data-id="745" data-print-date="November 25, 2024" data-print-url="https://fsa-services-eng-forms.food.gov.uk/register" data-template="formsservice"><section aria-label="Accessibility links"><ul><li><a href="https://fsa-services-eng-forms.food.gov.uk/register#maincontent" class="skip-link">Skip to main content</a></li></ul></section> <noscript><iframe title="Google Tag Manager" src="https://www.googletagmanager.com/ns.html?id=GTM-MDJZR6B" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript> <div id="form-expiry-dialog" class="dialog dialog--session-expiry-notice dialog--hidden dialog--nojs" data-dismissible="false"> <div class="dialog__content" role="dialog" aria-labelledby="form-expiry-dialog_header" aria-describedby="form-expiry-dialog_description" style="max-width: 400px"> <h2 id="form-expiry-dialog_header" class="dialog__header">Session timeout</h2> <div class="dialog__body"> <p id="form-expiry-dialog_description" class="dialog__description">You haven't used this form for a while - to protect your data, the form session will expire soon</p> <div class="session-countdown"><svg class="session-countdown-timer" width="150" height="150" viewBox="0 0 200 200" xmlns="http://www.w3.org/2000/svg"> <circle r="90" cx="100" cy="100" stroke-dasharray="565.48" stroke-dashoffset="0"></circle> <circle class="mask" r="90" cx="100" cy="100" stroke-dasharray="565.48" stroke-dashoffset="565.48" transform="rotate(-90, 100, 100)"></circle> <text class="time-remaining" x="50" y="110"></text> </svg> </div> <button class="btn btn--positive" onclick="gi.dialog('form-expiry-dialog').close()">I'm still here</button> </div> </div> </div> <script src="scripts/timeouts.js"></script> <script> var manager = gi.sessionTimeoutManager({ sessionControlUrl: 'https:\/\/fsa-services-eng-forms.food.gov.uk\/session-control.json' }); 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role="navigation" aria-label="Top utilities"> <ol class="utilitymenu utilitymenu--top"> <li class="utilitymenu__item"><a href="/contact" class="utilitymenu__link">Contact</a> </li> <li class="utilitymenu__item"><a href="https://www.food.gov.uk/contact/consumers/report-problem" class="utilitymenu__link">Report</a> </li> <li class="utilitymenu__item"><a href="/hygiene-ratings" class="utilitymenu__link">Food hygiene ratings</a> </li> <li class="utilitymenu__item"><span class="utilitymenu__text">Create a new account</span> </li> <li class="utilitymenu__item"><a href="/login" class="utilitymenu__link">Login</a> </li> <li class="utilitymenu__item"><a href="https://fsa-services-welsh-forms.food.gov.uk/register" class="utilitymenu__link" lang="cy">Cymraeg</a> </li> </ol> <nav id="c_550672417862595" aria-label="Site menu" class="gi-sitenav gi-sitenav--desktop gi-sitenav--hassearch"> <ul class="gi-sitenav__list gi-sitenav__list--lvl1"> <li class="gi-sitenav__item gi-sitenav__item--lvl1"> <a 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id="mobilemenu" hidden="" data-fullscreen="false" data-exclusive="true"> <ol class="utilitymenu utilitymenu--mobile"> <li class="utilitymenu__item"><a href="/contact" class="utilitymenu__link">Contact</a> </li> <li class="utilitymenu__item"><a href="https://www.food.gov.uk/contact/consumers/report-problem" class="utilitymenu__link">Report</a> </li> <li class="utilitymenu__item"><a href="/hygiene-ratings" class="utilitymenu__link">Food hygiene ratings</a> </li> <li class="utilitymenu__item"><span class="utilitymenu__text">Create a new account</span> </li> <li class="utilitymenu__item"><a href="/login" class="utilitymenu__link">Login</a> </li> <li class="utilitymenu__item"><a href="https://fsa-services-welsh-forms.food.gov.uk/register" class="utilitymenu__link" lang="cy">Cymraeg</a> </li> </ol> <ol class="sitemenu sitemenu--mobile"> <li class="sitemenu__item" data-id="924"><a href="https://www.food.gov.uk/?navref=main" class="sitemenu__link"> Home </a> </li> <li class="sitemenu__item" data-id="916"><a href="https://www.food.gov.uk/news-alerts?navref=main" class="sitemenu__link"> News and alerts </a> </li> <li class="sitemenu__item" data-id="918"><a href="https://www.food.gov.uk/?navref=main" class="sitemenu__link"> Consumer advice </a> </li> <li class="sitemenu__item" data-id="920"><a href="https://www.food.gov.uk/?navref=main" class="sitemenu__link"> Business guidance </a> </li> <li class="sitemenu__item" data-id="1109"><a href="https://www.food.gov.uk/about-us/how-we-work" class="sitemenu__link"> Our work </a> </li> <li class="sitemenu__item" data-id="922"><a href="https://www.food.gov.uk/?navref=main" class="sitemenu__link"> About us </a> </li> <li class="sitemenu__item" data-id="944"><a href="/article/944/Payment-example" class="sitemenu__link"> Payment example </a> </li> <li class="sitemenu__item" data-id="1117"><a href="/article/1117/Help-and-Guidance" class="sitemenu__link"> Help and Guidance </a> </li> </ol> <script> $(document).ready(function () { $('.sitemenu__submenu-opener').css('display', ''); }); </script> <div class="gi-mobilenav__item gi-mobilenav__item--closelink"> <a href="https://fsa-services-eng-forms.food.gov.uk/register#" class="gi-mobilenav__link gi-mobilenav__link--closelink"> Close navigation </a> </div> </nav> <script>gi.mobileNav.initialiseNavigation("mobilemenu");</script> </div> </div> <script> (function () { document.querySelector(".header--nojs").classList.remove("header--nojs"); })(); </script> </header> <div class="maincolumn"> <div class="container container--fullwidth"> <main id="maincontent" class="maincontent"> <div class="container"> <div class="a-heading a-heading--formsservice"> <h1 class="a-heading__title">Create a new account</h1> </div> <form action="https://fsa-services-eng-forms.food.gov.uk/apiserver/formsservice/http/processsubmission?pageSessionId=40447646-9430-40ec-9dcb-43d00e4a7844&fsid=45e3ef4d-3a49-4ee4-9d00-fdef7c5a357a&fsn=0c1b0e47-66f0-4640-8f03-d18f3e00732c" enctype="application/x-www-form-urlencoded" method="post" id="CITIZENSIMPLESIGNUPEXAMPLE_FORM" > <div id="CITIZENSIMPLESIGNUPEXAMPLE_CONTROL"> <input type="hidden" name="CITIZENSIMPLESIGNUPEXAMPLE_PAGESESSIONID" value="40447646-9430-40ec-9dcb-43d00e4a7844"/> <input type="hidden" name="CITIZENSIMPLESIGNUPEXAMPLE_SESSIONID" value="45e3ef4d-3a49-4ee4-9d00-fdef7c5a357a"/> <input type="hidden" name="CITIZENSIMPLESIGNUPEXAMPLE_NONCE" value="0c1b0e47-66f0-4640-8f03-d18f3e00732c"/> <input type="hidden" name="CITIZENSIMPLESIGNUPEXAMPLE_VARIABLES" value=""/> <input type="hidden" name="CITIZENSIMPLESIGNUPEXAMPLE_PAGENAME" value="USERNAME"/> <input type="hidden" name="CITIZENSIMPLESIGNUPEXAMPLE_PAGEINSTANCE" value="0"/> </div> <div id="CITIZENSIMPLESIGNUPEXAMPLE__FIELDS_OUTER" class="icmform icmformleft"> <ol role="presentation"><li role="presentation" id="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_RETURNURL_OUTER" style="display:none" > <script type="text/javascript"> /* <![CDATA[ */ (function( helper ){ helper.registerFormInitFn( function() { } ); helper.registerFieldGetValueFn( "RETURNURL", (function(){ return helper.getVariable('RETURNURL'); }) ); helper.registerFieldSetValueFn( "RETURNURL", (function(v){ helper.setVariable('RETURNURL', v); }) ); })( CITIZENSIMPLESIGNUPEXAMPLEForm ); /* ]]> */ </script> </li> <li role="presentation" id="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_PINSOURCE_OUTER" style="display:none" > </li> <li role="presentation" id="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_PINFAILS_OUTER" style="display:none" > </li> <li role="presentation" id="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_PINSENT_OUTER" style="display:none" > </li> <li role="presentation" id="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_FIELD2_OUTER"><script type="text/javascript"> /* <![CDATA[ */ (function( helper ){ helper.registerSimpleField( { fieldID : "CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_FIELD2", fieldName : "FIELD2", supportShowHide : true, supportShowHideHint : true, supportUpdateHint : true } ); })( CITIZENSIMPLESIGNUPEXAMPLEForm ); /* ]]> */ </script> <fieldset class="icmvertical icmshowborder"> <legend><span>Registration</span></legend> <ol role="presentation"><li role="presentation" id="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAIL_OUTER"><script type="text/javascript"> /* <![CDATA[ */ (function( helper ){ helper.registerInputField( { fieldID : "CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAIL", fieldName : "EMAIL", supportErrorDisplay : true, supportEvents : true, supportShowHide : true, supportShowHideHint : true, supportUpdateHint : true, supportShowHideRequired : true, supportEnableDisable : true, supportFocus : true } ); })( CITIZENSIMPLESIGNUPEXAMPLEForm ); /* ]]> */ </script> <div id="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAIL_OUTERDIV" class="field_text fielddiv_icmltext clear" role="group" aria-label="field"><label for="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAIL" id="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAILLABEL" >Your email<em title="required">*</em></label> <input type="text" name="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAIL" id="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_EMAIL" value="" maxlength="255" class="icmltext" /> </div></li> <li role="presentation" id="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_FIELD5_OUTER"><div id="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_FIELD5_OUTERDIV" class="field_wizard clear" role="group" aria-label="field"> <div class="icmwizardbuttongroup"> <div class="icmbutton-surround next"> <div class="icmbutton"> <button class="btn btn--form btn--forward" type="submit" id="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_FIELD5_NEXT" value="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_FIELD5" name="CITIZENSIMPLESIGNUPEXAMPLE_FORMACTION_NEXT" data-id="CITIZENSIMPLESIGNUPEXAMPLE_USERNAME_FIELD5" data-label="Register" data-fieldName="FIELD5" onclick="return CITIZENSIMPLESIGNUPEXAMPLEForm.onFormSubmission( 'NEXT', true, event )" >Register</button> </div> </div> </div > </div> <script type="text/javascript"> /* <![CDATA[ */ (function( helper ){ helper.registerButtonField( { 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