Record of On-going Training Hours Current Page 1 Page 2 Preview Prefill with your MyPEI Account What is MyPEI Account? Allow this form to use information already in your MyPEI account to fill in fields automatically. You can review and edit everything before submitting. Identification First Name Middle Initial Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone Number For example 902-555-5555 Email Address Previous Name If you were educated or previously certified in a name other than that used above please state the other name.
