Become a client by submitting your details below

If you choose to connect with Mensura, your connection to your current external service must be terminated. Mensura takes care of the whole process for you.

Please note that if you terminate your current contract before July 1st, your connection with Mensura will start on January 1st of the following calendar year. If the cancellation occurs on July 1st or later, under the law you must complete the following calendar year with your current external service.

To provide you with a personalised service and complete the registration process, please submit the following details.

Mandatory fields are marked with an asterisk (*).

Personal details

Title *

Mr.

Ms.

First name *

Surname *

Email *

Phone *

Company details

Company name *

Street + no. *

Postal code *

City *

Sector *

Region *

If selecting ‘several regions’, where is the company's principal place of business located?

CBE number *

Company size *

Your registration

Are you currently registered with a different EDPP? *

If yes, which one?

If you wish to register with Mensura, you will need to cancel your membership with your current external department for prevention and protection. We can do this on your behalf.

Select the Mensura services you wish to register for. *

External department/health surveillance

Absenteeism and solutions

To verify that you are not a robot, please check the box below.