diff --git a/src/app/pages/user-registration/user-registration-form/user-registration-form.component.html b/src/app/pages/user-registration/user-registration-form/user-registration-form.component.html
index 9db6da80..b4157d3b 100644
--- a/src/app/pages/user-registration/user-registration-form/user-registration-form.component.html
+++ b/src/app/pages/user-registration/user-registration-form/user-registration-form.component.html
@@ -90,6 +90,113 @@ <h2>Personal details</h2>
         </div>
       </div>
     </div>
+    <div class="row">
+      <div class="form-input">
+        <mat-form-field [appearance]="formFieldAppearance">
+          <mat-label>Job Title</mat-label>
+          <input
+            matInput
+            type="text"
+            name="jobTitle"
+            formControlName="jobTitle"
+            autocomplete="on"
+          />
+          <mat-error *ngIf="personalDetails.jobTitle.errors?.required">
+            Job title is required
+          </mat-error>
+        </mat-form-field>
+      </div>
+    </div>
+    <h2>Licenses and Accreditations</h2>
+    <div class="row">
+      <div class="col-md-6">
+        <div class="form-input">
+          <mat-form-field [appearance]="formFieldAppearance">
+            <mat-label>ORCID Id</mat-label>
+            <input
+              matInput
+              type="text"
+              name="orcidId"
+              formControlName="orcidId"
+              autocomplete="on"
+            />
+            <mat-error *ngIf="personalDetails.orcidId.errors?.required">
+              OrcidId is required
+            </mat-error>
+          </mat-form-field>
+        </div>
+      </div>
+      <div class="col-md-6">
+        <div class="form-input">
+          <mat-form-field [appearance]="formFieldAppearance">
+            <mat-label>GMC Number</mat-label>
+            <input
+              matInput
+              type="text"
+              name="gmcNumber"
+              formControlName="gmcNumber"
+              autocomplete="on"
+            />
+            <mat-error *ngIf="personalDetails.gmcNumber.errors?.required">
+              GMC Number is required
+            </mat-error>
+          </mat-form-field>
+        </div>
+      </div>
+    </div>
+    <div class="row">
+      <div class="col-md-6">
+        <div class="form-input">
+          <mat-form-field [appearance]="formFieldAppearance">
+            <mat-label>NMC Number</mat-label>
+            <input
+              matInput
+              type="text"
+              name="nmcNumber"
+              formControlName="nmcNumber"
+              autocomplete="on"
+            />
+            <mat-error *ngIf="personalDetails.nmcNumber.errors?.required">
+              NMC Number is required
+            </mat-error>
+          </mat-form-field>
+        </div>
+      </div>
+      <div class="col-md-6">
+        <div class="form-input">
+          <mat-form-field [appearance]="formFieldAppearance">
+            <mat-label>HCPC Number</mat-label>
+            <input
+              matInput
+              type="text"
+              name="hcpcNumber"
+              formControlName="hcpcNumber"
+              autocomplete="on"
+            />
+            <mat-error *ngIf="personalDetails.hcpcNumber.errors?.required">
+              HCPC Number is required
+            </mat-error>
+          </mat-form-field>
+        </div>
+      </div>
+    </div>
+    <div class="row">
+      <div class="form-input">
+        <mat-form-field [appearance]="formFieldAppearance">
+          <mat-label>AR Number</mat-label>
+          <input
+            matInput
+            type="text"
+            name="arNumber"
+            formControlName="arNumber"
+            autocomplete="on"
+          />
+          <mat-error *ngIf="personalDetails.arNumber.errors?.required">
+            AR Number is required
+          </mat-error>
+        </mat-form-field>
+      </div>
+    </div>
   </div>
 
   <!-- Organisation section -->
@@ -127,45 +234,71 @@ <h2>Organisation</h2>
     </div>
 
     <div *ngIf="isCreatingNewOrganisation">
-      <div class="form-input">
-        <mat-form-field [appearance]="formFieldAppearance">
-          <mat-label>Organisation Name</mat-label>
-          <input matInput type="text" formControlName="orgName" required />
-          <mat-error *ngIf="organisationDetails.orgName.errors?.required"
-            >Organisation name is required</mat-error
-          >
-        </mat-form-field>
-      </div>
-      <div class="form-input">
-        <mat-form-field [appearance]="formFieldAppearance">
-          <mat-label>Website</mat-label>
-          <input matInput type="url" formControlName="orgWebsite" required />
-          <mat-error *ngIf="organisationDetails.orgWebsite.errors?.required"
-            >Website is required</mat-error
-          >
-        </mat-form-field>
+      <div class="row">
+        <div class="col-md-6">
+          <div class="form-input">
+            <mat-form-field [appearance]="formFieldAppearance">
+              <mat-label>Organisation Name</mat-label>
+              <input matInput type="text" formControlName="organisationName" required />
+              <mat-error *ngIf="organisationDetails.organisationName.errors?.required"
+                >Organisation name is required</mat-error
+              >
+            </mat-form-field>
+          </div>
+        </div>
+        <div class="col-md-6">
+          <div class="form-input">
+            <mat-form-field [appearance]="formFieldAppearance">
+              <mat-label>Organisation Legal Name</mat-label>
+              <input matInput type="text" formControlName="organisationLegalName" required />
+              <mat-error *ngIf="organisationDetails.organisationLegalName.errors?.required"
+                >Organisation legal name is required</mat-error
+              >
+            </mat-form-field>
+          </div>
+        </div>
       </div>
-      <div class="form-input">
-        <mat-form-field [appearance]="formFieldAppearance">
-          <mat-label>Country of Registration</mat-label>
-          <input matInput type="text" formControlName="orgCountryOfRegistration" required />
-          <mat-error *ngIf="organisationDetails.orgCountryOfRegistration.errors?.required"
-            >Country of registration is required</mat-error
-          >
-        </mat-form-field>
+
+      <div class="row">
+        <div class="col-md-6">
+          <div class="form-input">
+            <mat-form-field [appearance]="formFieldAppearance">
+              <mat-label>Website</mat-label>
+              <input matInput type="url" formControlName="organisationWebsite" required />
+              <mat-error *ngIf="organisationDetails.organisationWebsite.errors?.required"
+                >Website is required</mat-error
+              >
+            </mat-form-field>
+          </div>
+        </div>
+        <div class="col-md-6">
+          <div class="form-input">
+            <mat-form-field [appearance]="formFieldAppearance">
+              <mat-label>Organisations country of origin</mat-label>
+              <input matInput type="text" formControlName="organisationCountryOfOrigin" required />
+              <mat-error *ngIf="organisationDetails.organisationCountryOfOrigin.errors?.required"
+                >Country of origin is required</mat-error
+              >
+            </mat-form-field>
+          </div>
+        </div>
       </div>
       <div class="form-input">
         <mat-form-field [appearance]="formFieldAppearance">
           <mat-label>Organisation Type</mat-label>
-          <input matInput type="text" formControlName="orgType" required />
-          <mat-error *ngIf="organisationDetails.orgType.errors?.required"
+          <mat-select formControlName="organisationType">
+            <mat-option *ngFor="let type of organisationTypeOptions" [value]="type.value">
+              {{ type.displayName }}
+            </mat-option>
+          </mat-select>
+          <mat-error *ngIf="organisationDetails.organisationType.errors?.required"
             >Organisation type is required</mat-error
           >
         </mat-form-field>
       </div>
       <div class="form-input mb-2">
-        <mat-checkbox formControlName="smallMediumBusinessStatus"
-          >Does you company have Small/Medium Business status?</mat-checkbox
+        <mat-checkbox formControlName="organisationIsSmb"
+          >Does your company have Small/Medium Business status?</mat-checkbox
         >
       </div>
     </div>
@@ -181,8 +314,10 @@ <h2>Department</h2>
   <div formGroupName="departmentDetails">
     <mat-form-field *ngIf="isCreatingNewOrganisation" [appearance]="formFieldAppearance">
       <mat-label>Department Name</mat-label>
-      <input matInput formControlName="deptName" />
-      <mat-error *ngIf="departmentDetails.deptName.invalid">Department Name is required</mat-error>
+      <input matInput formControlName="departmentName" />
+      <mat-error *ngIf="departmentDetails.departmentName.invalid"
+        >Department Name is required</mat-error
+      >
     </mat-form-field>
     <mat-form-field *ngIf="!isCreatingNewOrganisation" [appearance]="formFieldAppearance">
       <mat-label>Department</mat-label>
diff --git a/src/app/pages/user-registration/user-registration-form/user-registration-form.component.ts b/src/app/pages/user-registration/user-registration-form/user-registration-form.component.ts
index a8618e5c..850f6fe4 100644
--- a/src/app/pages/user-registration/user-registration-form/user-registration-form.component.ts
+++ b/src/app/pages/user-registration/user-registration-form/user-registration-form.component.ts
@@ -30,18 +30,34 @@ export interface UserRegistrationFormData {
   lastName: string;
   email: string;
   phoneNumber: string;
-  additionalInfo: string;
-  confirmations: boolean;
-  organisation: string;
-  orgName: string;
-  positionAtOrganisation: string;
-  orgWebsite: string;
-  orgCountryOfRegistration: string;
-  orgType: string;
-  smallMediumBusinessStatus: string;
-  deptName: string;
+  jobTitle: string;
+  orcidId: string;
+  gmcNumber: string;
+  nmcNumber: string;
+  hcpcNumber: string;
+  arNumber: string;
+  organisationId: string;
+  organisationName: string;
+  organisationLegalName: string;
+  organisationWebsite: string;
+  organisationCountryOfOrigin: string;
+  organisationType: OrganisationType;
+  organisationIsSmb: boolean;
+  departmentId: string;
+  departmentName: string;
 }
 
+export type OrganisationType = 'NOT_SELECTED' | 'UNIVERSITY' | 'HEALTHTECH';
+export interface OrganisationTypeOption {
+  value: OrganisationType;
+  displayName: 'University' | 'Healthcare technology company';
+}
+
+export const ORGANISATION_TYPE_OPTIONS: OrganisationTypeOption[] = [
+  { value: 'UNIVERSITY', displayName: 'University' },
+  { value: 'HEALTHTECH', displayName: 'Healthcare technology company' },
+];
+
 @Component({
   selector: 'mdm-user-registration-form',
   templateUrl: './user-registration-form.component.html',
@@ -54,26 +70,36 @@ export class UserRegistrationFormComponent {
   formFieldAppearance: MatFormFieldAppearance = 'outline';
   isCreatingNewOrganisation = false;
 
+  organisationTypeOptions = ORGANISATION_TYPE_OPTIONS;
+
   registrationForm: FormGroup = this.formBuilder.group({
     personalDetails: this.formBuilder.group({
       firstName: ['', Validators.required],
       lastName: ['', Validators.required],
       email: ['', Validators.compose([Validators.required, Validators.email])],
       phoneNumber: ['', Validators.pattern('^[- +()0-9]+$')],
-      additionalInfo: null,
-      confirmations: false,
+      jobTitle: ['', Validators.required],
+      orcidId: null,
+      gmcNumber: null,
+      nmcNumber: null,
+      hcpcNumber: null,
+      arNumber: null,
+
+      // TODO: Unconfirmed field.
+      // confirmations: false,
     }),
     organisationDetails: this.formBuilder.group({
       organisation: ['', Validators.required],
-      orgName: null,
-      orgWebsite: null,
-      orgCountryOfRegistration: null,
-      orgType: null,
-      smallMediumBusinessStatus: null,
+      organisationName: null,
+      organisationLegalName: null,
+      organisationWebsite: null,
+      organisationCountryOfOrigin: null,
+      organisationType: null,
+      organisationIsSmb: null,
     }),
     departmentDetails: this.formBuilder.group({
       department: ['', Validators.required],
-      deptName: null,
+      departmentName: null,
     }),
   });
 
@@ -148,42 +174,55 @@ export class UserRegistrationFormComponent {
     if (this.isCreatingNewOrganisation) {
       this.registrationForm.get('organisationDetails.organisation')?.clearValidators();
       this.registrationForm.get('departmentDetails.department')?.clearValidators();
-      this.registrationForm.get('organisationDetails.orgName')?.setValidators(Validators.required);
       this.registrationForm
-        .get('organisationDetails.orgWebsite')
+        .get('organisationDetails.organisationName')
         ?.setValidators(Validators.required);
       this.registrationForm
-        .get('organisationDetails.orgCountryOfRegistration')
+        .get('organisationDetails.organisationLegalName')
         ?.setValidators(Validators.required);
-      this.registrationForm.get('organisationDetails.orgType')?.setValidators(Validators.required);
       this.registrationForm
-        .get('organisationDetails.smallMediumBusinessStatus')
+        .get('organisationDetails.organisationWebsite')
+        ?.setValidators(Validators.required);
+      this.registrationForm
+        .get('organisationDetails.organisationCountryOfOrigin')
+        ?.setValidators(Validators.required);
+      this.registrationForm
+        .get('organisationDetails.organisationType')
+        ?.setValidators(Validators.required);
+      this.registrationForm
+        .get('organisationDetails.organisationIsSmb')
+        ?.setValidators(Validators.required);
+      this.registrationForm
+        .get('departmentDetails.departmentName')
         ?.setValidators(Validators.required);
-      this.registrationForm.get('departmentDetails.deptName')?.setValidators(Validators.required);
     } else {
       this.registrationForm
         .get('organisationDetails.organisation')
         ?.setValidators(Validators.required);
-      this.registrationForm.get('organisationDetails.orgName')?.clearValidators();
-      this.registrationForm.get('organisationDetails.orgWebsite')?.clearValidators();
-      this.registrationForm.get('organisationDetails.orgCountryOfRegistration')?.clearValidators();
-      this.registrationForm.get('organisationDetails.orgType')?.clearValidators();
-      this.registrationForm.get('organisationDetails.smallMediumBusinessStatus')?.clearValidators();
+      this.registrationForm.get('organisationDetails.organisationName')?.clearValidators();
+      this.registrationForm.get('organisationDetails.organisationLegalName')?.clearValidators();
+      this.registrationForm.get('organisationDetails.organisationWebsite')?.clearValidators();
+      this.registrationForm
+        .get('organisationDetails.organisationCountryOfOrigin')
+        ?.clearValidators();
+      this.registrationForm.get('organisationDetails.organisationType')?.clearValidators();
+      this.registrationForm.get('organisationDetails.organisationIsSmb')?.clearValidators();
       this.registrationForm.get('departmentDetails.department')?.setValidators(Validators.required);
-      this.registrationForm.get('departmentDetails.deptName')?.clearValidators();
+      this.registrationForm.get('departmentDetails.departmentName')?.clearValidators();
     }
 
     this.registrationForm.get('organisationDetails.organisation')?.updateValueAndValidity();
-    this.registrationForm.get('organisationDetails.orgName')?.updateValueAndValidity();
-    this.registrationForm.get('organisationDetails.orgWebsite')?.updateValueAndValidity();
+    this.registrationForm.get('organisationDetails.organisationName')?.updateValueAndValidity();
     this.registrationForm
-      .get('organisationDetails.orgCountryOfRegistration')
+      .get('organisationDetails.organisationLegalName')
       ?.updateValueAndValidity();
-    this.registrationForm.get('organisationDetails.orgType')?.updateValueAndValidity();
+    this.registrationForm.get('organisationDetails.organisationWebsite')?.updateValueAndValidity();
     this.registrationForm
-      .get('organisationDetails.smallMediumBusinessStatus')
+      .get('organisationDetails.organisationCountryOfOrigin')
       ?.updateValueAndValidity();
+    this.registrationForm.get('organisationDetails.organisationType')?.updateValueAndValidity();
+    this.registrationForm.get('organisationDetails.organisationIsSmb')?.updateValueAndValidity();
     this.registrationForm.get('departmentDetails.department')?.updateValueAndValidity();
-    this.registrationForm.get('departmentDetails.deptName')?.updateValueAndValidity();
+    this.registrationForm.get('departmentDetails.departmentName')?.updateValueAndValidity();
   }
 }
diff --git a/src/app/pages/user-registration/user-registration.component.html b/src/app/pages/user-registration/user-registration.component.html
index 1e3e932d..9c0598c3 100644
--- a/src/app/pages/user-registration/user-registration.component.html
+++ b/src/app/pages/user-registration/user-registration.component.html
@@ -19,7 +19,7 @@
 <div class="highlight-box">
   <div class="highlight-box__content--narrow">
     <h1>Create account</h1>
-    <p>Please fill out the required personal and organisational information below. </p>
+    <p>Please fill out the required personal and organisational information below.</p>
     <mdm-user-registration-form
       [organisationOptions]="organisationOptions"
       (formSubmitted)="handleFormSubmission($event)"