TWI enrolment form

Customer Services Granta Park Great Abington Cambridge CB2I 6AL Tel.: +44 (0)1223 899500 Fax. +44 (0)1223 891630 E-mail: [email protected]

___________________________ Postcode_______________________ Contact name_______________________________________________ Telephone__________________________________________________ Fax________________________________________________________ Please tick: Self - Sponsored Company Sponsored

PLEASE SEND APPLICATION WITH YOUR PAYMENT AND THE NECESSARY ENCLOSURES TO:

TWI Training & Examination Services

OR

TWI North Aurora Court, Barton Road Riverside Middlesbrough TS2 1RY Tel.: +44 (0)1642 216320 Fax: +44 (0)1642 252218 E-mail: [email protected]

ACCOMMODATION (Abington only) I would like dinner, bed and breakfast on site at the published price for the nights of: The day before During course Other Please specify_________________________________ Non-smoking only
In the event of cancellation by you, the event fee and the accommodation fee (if applicable) will be returned less a cancellation charge of 20%. If less than 20 days notice is given by you, TWI reserves the right to retain the whole fee. TWI reserves the right to cancel the event in case of insufficient registration or illness of lecturers. TWI will ensure maximum possible notice is given to the attendees and reserves the right to substitute lecturers and modify the course details as required.

PLEASE USE CAPITAL LETTERS THROUGHOUT

Personal Information: TWI Candidate ID Number:

(if taken other examinations with TWI) Course ref _____________ Course date _________________________ Course title _________________________________________________ ___________________________________________________________ Candidates family name ___________________________________________________________ Candidate has given name (s) ___________________________________________________________ Date of birth (dd/mm/yy)______________________________________ Permanent private address ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________ Postcode_______________________ Private tel no________________________________________________ E-mail_____________________________________________________ Correspondence address (if different from above) ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Invoice Address (if different from below) ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Sponsoring Company and Address ___________________________________________________________ ___________________________________________________________ E-mail_____________________________________________________
Please tick if you are A member of The Welding & Joining Society An employee of an Industrial Member of TWI It may be possible to make provision for special needs/adjustments. Please bring this fact to TWIs attention when returning this form.

METHODS OF PAYMENT

Full payment and/or Company Order no. must accompany this booking form. Bookings received without payment/order number will be treated as provisional which does not guarantee a place. Online Bank Draft made payable to Ahmed Jahanzeb (PKR Account) Bank Address: 61-CCA, Phase 4 DHA Lahore Account No: 01-200-0023-9 Branch Code: 0452 (Allied Bank) Account Title: Ahmed Jahanzeb Owner: Farshid Alizadeh, TWI Persia (Pakistan) Bank Draft Must be sent to Ahmed Jahanzeb, 250 HH, phase 4 DHA, Lahore For International Students Bank Transfer: Citi Bank U.A.E, Dubai A/C No. 1102295239 (USD only) A/C Name : Farshid Alizadeh Dehkharghani Bank swift Code: CITIAEAD

SPONSORS SIGNATURE:
Date: ___________________________________________________

I would prefer an examination in week commencing

(we will do our best to meet your requirements, but reserve the right to offer alternatives)

Venue: Tehran Mahshahr

Isfehan

Shiraz

Pakistan Kerman

Turkey Assaluyeh

Ahvaz

Where did you hear about TWI Ltd?

Internal Use Only Booking Ref: ________________

TRA05/EX08 Doc 1 Rev 14 - Page 2 of 3

Examination Applied For (to be completed in full by all applicants)

Examination Type: Initial, supplementary, renewal, bridging or retest of a previously failed examination Examination Body: CSWIP, PCN, AWS, ASNT,-BGAS of 3 TRA05/EX08 Doc 1 Rev 11 Page 1 PCN or BGAS Approval Number:

Current CSWIP qualifications held: NDT Method (please circle)

MT BRS RPS

PT LRUT

RT PAUT

ET

RI AUT

UT ACFM

VT TOFD

Industry Sector: Aerospace, Welds, Wrought, Railway, General Categories: Level 1 Welding Inspection (please circle)
AWS/CSWIP

Level 2

Level 3.2.1

Level 3.2.2 Instructor OGI ASCAN

CSWIP/AWS

Supervisor 3.3U 3.4U

Endorsement Underwater Inspection: (please circle) Please contact TWI for the relevant EX07 document Plastics: Please contact TWI for the relevant EX07 document 3.1U 3.2U Concrete

To be completed by all applicants applying to attend CSWIP Welding Inspection Examinations I confirm that I have read and comply with the pre examination entry requirements as laid down in the CSWIP Requirement Documents DOCUMENT No. CSWIP-WI-6-92, 8th Edition January 2008 and understand that any fraudulent claim may result in the retraction of any certificate issued. Please tick the appropriate box and give a detailed statement of how you meet the requirements, this must be signed and verified by an employer/third party Visual Welding Inspector (Level 1) related Although there is no specific experience requirement it is recommended that candidates possess a minimum of six months welding engineering experience and two years industrial experience.

Welding Inspector (Level 2) Welding Inspector for a minimum of 3 years with experience related to the duties and Responsibilities listed in Clause 1.2.2 under qualified supervision, independently verified. Certified Visual Welding Inspector (Level 1) for a minimum of 2 years with job responsibilities in the areas listed in 1.2.1 and 1.2.2. Welding Instructor or Welding Foreman/Supervisor for a minimum of 5 years.

TRA05/EX08 Doc 1 Rev 14 - Page 3 of 3

Senior Welding Inspector (Level 3) Certified Welding Inspector (Level 2) for a minimum of 2 years with job responsibilities in the areas listed in 1.2.1, 1.2.2 and 1.2.3. 5 years' authenticated experience related to the duties and responsibilities listed in Clause 1.2.3, Independently verified.

Welding QC Co-ordinator A current valid CSWIP 3.2 Senior Welding Inspector certification plus three years documented experience related to the duties and responsibilities or an international equivalent. A current valid CSWIP 3.1 Welding Inspector with 10 years documented experience related to the duties and responsibilities or an international equivalent.

NDT 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. Your employer or a recent major client must verify this experience:

Verifier
Name (in capitals): __________________________________________ Company: Position: Telephone no.: Email Address: Date: __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Authenticated Company Stamp

To the best of my belief, the candidates statement given above is correct at the time of signing
Verifying signature (employer or equivalent): CANDIDATE - PLEASE NOTE I understand that TWI Ltd and its associated trading companies (and companies, organisations, or agents processing data on its behalf) will hold and use personal data supplied by me for administration purposes. These purposes have been notified under the Data Protection Act 1998. The data may also be used to send separate unsolicited mailings containing details of events, new services, products etc. You have the right to ask TWI Ltd NOT to send such mailings. If you do not wish to receive this information from TWI Ltd, please tick this box . You have the right of access to personal data that we hold about you, on payment of the access fee not exceeding 10. Requests should be addressed to The Data Controller, TWI Ltd, Granta Park, Gt Abington, Cambridge CB21 6AL, UK. I agree to read the Health & Safety and Security information provided by TWI and to abide by the guidance given. I understand that occasionally images of training and examinations are taken by TWI for publicity and other purposes and that 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. 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 satisfy those criteria covering vision, training and experience. I accept 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 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 professional conduct (see www.cswip.com). I understand that any appeal against an exam result must be received within six months of the exam date. I have read the listing and include all the requested information. I understand that any false statement may result in the examination being invalidated.

CANDIDATE SIGNATURE: