Event Enrolment Form: TWI Middle East FZ - LLC
Event Enrolment Form: TWI Middle East FZ - LLC
Rev 8 – Page 1 of 3
PLEASE SEND A PHOTOCOPY WITH YOUR PAYMENT AND Declaration:
THE NECESSARY ENCLOSURES TO: I understand that TWI Ltd and its associated trading companies (and
companies, organisations or agents processing data on its behalf) will
TWI Middle East FZ – LLC hold and use personal data supplied by me for administration purposes.
Knowledge Village, These purposes have been notified under the Data Protection Act 1998.
Block 14, Office no. 306/307 The data may also be used to send separate unsolicited mailings
P.O. Box 502931, containing details of events, new services, products etc. You have the
Dubai, UAE right to ask TWI Ltd NOT to send such mailings.
Tel: +971 4 364 3010, Fax: +971 4 367 8435
E-mail: [email protected] If you do not wish to receive this information from TWI Ltd, please
mark this box.
Course bookings – please complete page 1
Course & Exam packages – please complete pages 1-3
Exam bookings – please complete pages 1-3 You have the right of access to personal data which we hold about you,
on payment of the access fee not exceeding £10. Requests should be
PLEASE USE CAPITAL LETTERS THROUGHOUT addressed to The Data Controller, TWI Ltd, Granta Park, Great
Abington, Cambridge CB1 6AL, UK. I agree to read the Health &
Safety and Security information provided by TWI and to abide by the
Event ref. Date guidance given. I understand that occasionally images of training and
examinations are taken by TWI for publicity and other purposes and that
Event title: permission for my inclusion in such material is implied unless I make it
known to Customer Services at registration that I do not wish to feature.
Delegate’s first name(s):
SIGNATURE:
Delegate’s surname
METHODS OF PAYMENT (Please indicate)
Date of Birth (dd/mm/yy) Full payment and/or Company Order No must accompany this booking
form. Bookings received without payment/order number will be treated
Permanent private address. as provisional which does not guarantee a place.
Title
8. Underwater inspection
2. Examination Subject
3.1U 3.2U 3.3U 3.4U
NDT go to Q3 Plastics welding go to Q9 Concrete OGI A-Scan
Welding Insp. go to Q7 Plant Inspector go to Q10 Please contact Customer Services for the relevant EX07 document
Underwater go to Q8 IIW/EWF diploma go to Q11
BGAS-CSWIP go to Q12 Other go to Q12
9. Plastics
Country of Birth ____________________________________________________
3. NDT (tick one in a,b,c and d)
Please state options required
a) PCN CSWIP ACCP __________________________________________________________________
Other (please specify)_______________________________________ __________________________________________________________________
__________________________________________________________________
b) General Aerospace Axles Please contact Customer Services for the relevant EX07 document
Weld Wrought Rails
4. Ultrasonic
11. EWF Diploma
Welds
Specialist Technologist Engineer
Plate Pipe Tee
Part 1 Part 2 Part 3 Part 4
Nozzle Node Critical sizing
Retest Oral
Automated Automated Interpreter
Aerospace
Material & Components 12. BGAS-CSWIP and other examinations
Material, Components & Structures Please give details
__________________________________________________________________
5. Radiography
__________________________________________________________________
WeldsAerospace
X-ray light metal Material & Components __________________________________________________________________
X-ray dense metal Material, Comp & Structures
__________________________________________________________________
Gamma-ray dense metal Welds light
Welds dense __________________________________________________________________
Radiographic Interpretation
Ferrous Stainless Aluminium Copper & alloys
__________________________________________________________________
Basic Radiation Safety Radiation Protection Supervisor
__________________________________________________________________
6. Eddy current
General Aerospace
Wrought Material & Components
TRA05/EX07 Doc 1
ESSENTIAL DOCUMENTATION FOR Rev 8 – Page 3 of 3
EXAMINATIONS
I have read and understood the documentation issued by the scheme management
that is relevant to the examination for which I am applying and declare that I
Please tick each applicable box and sign the declaration on the top satisfy those criteria covering vision, training and experience. I accept
right of this page. responsibility for any examination fees in the event of non-payment by the
sponsor. I agree to abide by the requirements for certification as relevant to the
Please note that your application cannot be processed without the examination for which I am applying. In particular I agree to comply, if
applicable, with the CSWIP rules on use and misuse of certificates and on
following data: professional conduct (see www.cswip.com).
General documentation required from everyone I understand that any appeal against an exam result must be received within six
1. Payment or company order no. months of the exam date.
2. Training record (except BGAS-CSWIP)
3. Two passport photos with your name clearly I have read the listing and include all the requested information.
printed on the back (please do not staple to form)
4. Vision certificate (except Plastics) I understand that any false statement may result in the examination being
5. EX07 doucment invalidated.
(Plastic Welder and Underwater Inspector only)
6. Medical Certificate (Underwater Inspector only)
to be produced on the day of the exam SIGNATURE:
Venue:
Abu Dhabi Dubai Qatar
Muscat Baku
If recertification or supplementary please list the relevant Qualifications and Certificates already held and append copies of relevant certificates. ORIGINALS
MUST BE PRODUCED ON THE DAY OF THE EXAM.
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
Pre-certification training
If you have attended relevant approved training courses in the past five years, please list below and attach evidence with any additional on-the-job training (if
appropriate)
Course title______________________________________________________________
Dates___________________________________________________________________
Provider________________________________________________________________
Pre-certification experience
Please list your specific experience and duration as required by the scheme documentation and attach copies of log book entries if available for NDT
examinations, this is not a pre-requisite for examination, however certification will not be awarded until the experience is gained and evidence provided. This
experience must be verified by your employer or a recent major client:
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
To the best of my belief, the candidates statement given above is correct at the time of signing.