TWI enrolment form

PLEASE SEND APPLICATION WITH YOUR PAYMENT AND THE NECESSARY ENCLOSURES TO: TWI Middle East FZ LLC Knowledge Village, Block 8, Office no.114/115 P.O. Box 502931,Dubai, UAE Tel: +971 4 364 3010 / 12 / 14 Fax: +971 4 367 8435 E-mail: [email protected]; [email protected] PLEASE USE CAPITAL LETTERS THROUGHOUT

If yes, please provide details of any adjustments you may require.

TWI Training & Examination Services Please tick: Self - Sponsored Company Sponsored

General documentation required from everyone

1. 2. Payment or company order no. Two passport photos with name clearly printed on the back (please do not staple to form) Vision certificate

Personal Information: TWI Candidate ID Number:

(if taken other examinations with TWI) Course ref Course title Candidates family name Candidates given name (s) Course date

3.

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 course details as required.

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. Cheque Bank Draft Cash made payable to TWI Middle East FZ - LLC. HSBC Bank Middle East Ltd., P.O. Box 66, Dubai, UAE. Account no. 021 218367 001, Swift: BBME AEAD OR Credit Card/Debit Card (Please Indicate if Company Card) YES NO

Date of birth (dd/mm/yy)

Permanent private address (home country address)

Three digit security code_______________________________________________ Valid from & Expiry date______________________________________________ Issue Number ______________________________________________________ Name (as it appears on card) __________________________________________________________________ House number and postcode of card holder: __________________________________________________________________ Signature of card holder _______________________________________________ OR Company order no_____________________________________________ Approving Managers name____________________________________________

Postcode Private tel no E-mail Correspondence address (if different from above)

Title_________________________________________________
Invoice Address (if different from below)

SIGNATURE:
Date: __________________________________________________________ _

I would prefer an examination in week commencing Sponsoring Company and Address

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

Postcode Contact name Telephone Fax E-mail

Please tick if you are - A member of The Welding & Joining Society - An employee of an Industrial Member of TWI Do you have a disability or any special needs relevant to this course or examination? Yes No

Venue: Abu Dhabi Qatar

Dubai Syria

Sharjah

Oman

Others __________________

Where did you hear about TWI Ltd?

TWI Training website Bulletin / Connect BINDT Publications TWI Training newsletter NDT Cabin Other

Internal Use Only Booking Ref: ________________

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

TRA05/EX08 Doc 1 Rev 15 - Page 2 of 3

Examination Type: Initial, supplementary, renewal, bridging or retest of a previously failed examination Examination Body: CSWIP, PCN, AWS, ASNT, BGAS 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, 10th Edition January 2011 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 15 - 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. This experience must be verified by your employer or a recent major client:

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: