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Event Enrolment Form: TWI Middle East FZ - LLC

This document is an event enrolment form for training provided by TWI Middle East FZ-LLC. It requests information such as the delegate's contact details, signature to agree to terms, and method of payment. The form also contains a declaration that personal data will be collected and used for administration and marketing purposes, and provides an option to opt out of receiving unsolicited mailings. Details are also requested regarding the specific event or examination being signed up for, including the subject area and certification scheme.
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
37 views

Event Enrolment Form: TWI Middle East FZ - LLC

This document is an event enrolment form for training provided by TWI Middle East FZ-LLC. It requests information such as the delegate's contact details, signature to agree to terms, and method of payment. The form also contains a declaration that personal data will be collected and used for administration and marketing purposes, and provides an option to opt out of receiving unsolicited mailings. Details are also requested regarding the specific event or examination being signed up for, including the subject area and certification scheme.
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 4

Event enrolment form TRA05/EX07 Doc 1

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.

 Cheque  Draft  Cash

made payable to TWI Middle East FZ - LLC


Postcode: HSBC Bank Middle East Ltd., P.O. Box 66, Dubai, UAE.
A/C No. 021 218367 001, Swift: BBME AEAD
Private tel no.
OR
E-mail
Correspondence address (if different from above)
(Local Middle East PO Box Preferred)  Company order (LPO)

Approving Manager’s Name

Title

Company name and address (Only if sponsoring)


SIGNATURE:

PO Box: PLEASE READ CAREFULLY:


In the event of cancellation by you, the event fee (if applicable) will
Contact name be returned less a cancellation charge of 20%. If less than 14 days
notice is given by you, TWI reserves the right to retain the whole fee.
Telephone TWI reserves the right to cancel the event in case of insufficient
registration or illness of lecturers. TWI will ensure maximum
Fax possible notice is given to the attendees and reserves the right to
substitute lecturers and modify the course details as required.
E-mail
Invoice address (if differenct from above) FOR OFFICE USE ONLY
Date Booking no.
Amount paid Invoice no.
Please tick if you are Date of exam JI sent
A member of the Welding & Joining Society
An employee of an Industrial Member of TWI
A Member of Institute of Mechanical Engineers (for ATC65 course only)
TRA05/EX07 Doc 1
Rev 8 – Page 2 of 3

1. Examination Type 7. Weld Inspection

Initial  4yr (plastics only)  5yr  10yr 


Supplementary  Retest  Bridging  Endorsement  Visual Welding Inspector  Welding Inspector  Senior
Welding Inspector  AWS/CSWIP 
CSWIP/CSWIP-BGAS 
BGAS/PCN No. (if known)
Code/standard chosen for examination (in full)
CSWIP qualification (if held): (for CSWIP Welding Inspectors only)
Current qualification (include CSWIP Approval letter for 10 year exam)
Current Certificate No.

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 

c) Magnetic  Penetrant  10. Plant Inspector


Ultrasonic go to Q4 Radiography  go to Q5
Level 1  Level 2  Level 3 
Eddy current  go to Q6 ACFM 
EMA  Visual & Optical testing 
For levels 2 & 3:

d) Level 1  Level 2  Level 3 


Basic  Endorsement (please state) ………………………….

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:

Additional documentation for recertification and retest Date

7. Copy of previous examination results notice  I would prefer an examination on _________________________


8. Two passport photos with your name printed on the back
9. Deferral letter from scheme management  (we will do our best to meet your requirements, but reserve the
(if expiry has been extended) right to offer alternatives)

Venue:
Abu Dhabi  Dubai  Qatar 
Muscat  Baku 

ESSENTIAL INFORMATION FOR ALL EXAMINATION CANDIDATES (EXCEPT BGAS-CSWIP)

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.

Verifying signature (employer or equivalent):


Name (in capitals): _________________________________________________________________________________
Company: _________________________________________________________________________________
Position: _________________________________________________________________________________
Qualifications: _________________________________________________________________________________
Telephone no.: _________________________________________________________________________________
Date: _________________________________________________________________________________

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