Event Enrolment Form

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TRA05/EX07 Doc 1

Event enrolment form


Rev 8 – Page 1 of 3

ACCOMMODATION (Abington only)


PLEASE SEND A PHOTOCOPY WITH YOUR PAYMENT AND THE I would like dinner, bed and breakfast on site at the published price
NECESSARY ENCLOSURES TO:
for the nights of:
TWI Training & Examination Services
Customer Services TWI North
Granta Park Aurora Court, Barton Road The day before  During event 
Great Abington Riverside Other  Please specify_________________________________
Cambridge CBI 6AL OR Middlesbrough TS2 1RY Non-smoking only
Tel.: +44 (0)1223 891162 Tel.: +44 (0)1642 210512
Fax. +44 (0)1223 891630 Fax: +44 (0)1642 252218 PLEASE NOTE
E-mail: [email protected] E-mail: [email protected] I understand that TWI Ltd and its associated trading companies (and
Course bookings – please complete page 1 companies, organisations, or agents processing data on its behalf) will hold
and use personal data supplied by me for administration purposes. These
Course and Exam packages – please complete pages 1-3 purposes have been notified under the Data Protection Act 1998. The data
Exam bookings – please complete pages 1-3 may also be used to send separate unsolicited mailings containing details of
PLEASE USE CAPITAL LETTERS THROUGHOUT events, new services, products etc.
Event ref ______________ Event date __________________________ 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
Event title _________________________________________________ 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 CB1 6AL,
Delegate’s first name (s) UK.
I agree to read the Health & Safety and Security information provided by
__________________________________________________________ TWI and to abide by the guidance given.
Delegate’s surname 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.
Date of birth (dd/mm/yy)______________________________________
Permanent private address SIGNATURE:
__________________________________________________________
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
14 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
___________________________ postcode_______________________ course details as required.

Private tel no_______________________________________________ METHODS OF PAYMENT


Full payment and/or Company Order no. must accompany this booking form.
E-mail_____________________________________________________ Bookings received without payment/order number will be treated as provisional
Correspondence address (if different from above) which does not guarantee a place.

__________________________________________________________  Cheque  Bank Draft  BACS


made payable to TWI Ltd. Barclays Bank PLC, Market Place,
__________________________________________________________ Saffron Walden, Essex CB10 1HR Sort Code: 20-74-05.
Account No: 60919349. Swift address: BARC GB 22
__________________________________________________________
OR  Credit Card/Debit Card
Invoice/Sponsor address (if different from Employer address)
__________________________________________________________
__________________________________________________________ Three digit security code_____________________________________________
Expiry date_______________________________________________________
Employer name and address
Name (as it appears on card)
__________________________________________________________
________________________________________________________________
__________________________________________________________ House number and postcode of cardholder:
__________________________________________________________ ________________________________________________________________
___________________________ postcode_______________________ Signature_________________________________________________________

Contact name_______________________________________________ OR Company order no________________________________


Approving Manager’s name__________________________________________
Telephone__________________________________________________
Title________________________________________________
Fax_______________________________________________________
E-mail_____________________________________________________ SIGNATURE:
Please tick if you are
 A member of The Welding & Joining Society FOR OFFICE USE ONLY
 An employee of an Industrial Member of TWI
 Member of Institute of Mechanical Engineers (for ATC65 course only)
Date _____________ Booking no. ____________

Industry Sectors: (Please tick one only)


Amount paid____________ Invoice no. ____________
 Power Generation  Automotive Date of exam____________ JI sent ____________
 Electronic  Oil, Gas & Petrochemical (if expiry has been extended)
 Aerospace  Construction
 Underwater  Medical
 Equipment, Consumables &  Other, please specify
Materials
TRA05/EX07
TRA05/EX07Doc Doc11
Rev
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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 
BGAS/PCN No. (if known)_________________________________________ CSWIP/CSWIP-BGAS 
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 
Ultrasonic  go to Q4 Radiography  go to Q5
Eddy current  go to Q6 ACFM  10. Plant Inspector
EMA  Visual & Optical testing 
Level 1  Level 2  Level 3 
d) Level 1  Level 2  Level 3 
For levels 2 & 3:

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

4. Ultrasonic
Welds
Plate  Pipe  Tee 
11. EWF Diploma
Nozzle  Node  Critical sizing 
Specialist  Technologist  Engineer 
Automated  Automated Interpreter 
Part 1  Part 2  Part 3  Part 4 
Aerospace Retest  Oral 
Material & Components 
Material, Components & Structures 
12. BGAS-CSWIP and other examinations
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 
Tubular  Material, Comp & Structures 

ESSENTIAL DOCUMENTATION FOR


EXAMINATIONS
TRA05/EX07 Doc 1
Please tick each applicable box and sign the declaration on the top Rev 8 – Page 3 of 3
right of this page.
Please note that your application cannot be processed without the
I have read and understood the documentation issued by the scheme
following data: 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
General documentation required from everyone accept responsibility for any examination fees in the event of non-payment by
1. Payment or company order no.  the sponsor. I agree to abide by the requirements for certification as relevant to
2. Training record (except BGAS-CSWIP)  the examination for which I am applying. In particular I agree to comply, if
3. Two passport photos* with your name clearly applicable, with the CSWIP rules on use and misuse of certificates and on
printed on the back (please do not staple to form)  professional conduct (see www.cswip.com).
4. Vision certificate* (except Plastics) 
5. EX07 doucment I understand that any appeal against an exam result must be received within six
(Plastic Welder and Underwater Inspector only)  months of the exam date.
6. Medical Certificate (Underwater Inspector only)
to be produced on the day of the exam  I have read the listing and include all the requested information.

I understand that any false statement may result in the examination


* services provided on request at Abington and Middlesbrough being invalidated.
Additional documentation for recertification and retest
SIGNATURE:
7. Copy of previous examination results notice 
8. Deferral letter from scheme management  Date: __________________________________________________
(if expiry has been extended)
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:
Abington  Middlesbrough  Sheffield 

Port Talbot  Aberdeen  Paisley 


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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