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5 Year Inspector (Overseas) No Log Book
5 Year Inspector (Overseas) No Log Book
date as postmark
Certification Administrator
TWI Certification Limited
CSWIP/WISWI/5YR/2013
Post/zip code
DATE OF BIRTH
CSWIP CERTNO:
CONTACT PHONE
HOME/WORK*:
MOBILE:
CONTACT EMAIL
HOME:
WORK:
TELEPHONE NUMBER:
*delete as appropriate
EMAIL ADDRESS:
CSWIP/WISWI/5YR/2013
Tick
Recent eye sight test certificate - taken within the last 2 years
Method of payment
Cheque/demand draft
enclosed
Credit Card details provided
Copy of Bank Transfer and
state date transfer was sent
ALL of the above must be provided in order that your application can be processed
CSWIP/WISWI/5YR/2013
CSWIP/WISWI/5YR/2013
for the 5
____________________________________________________
To: (DD/MM/YY)
Position held:
Brief outline of work carried out for this company:
Declaration: I................................................................................................
(Name and position held in above company)
Hereby declare that I have knowledge of the above applicants work activities.
That the information given above is correct and that I am suitably qualified to
verify this information.
Verifiers Professional Relationship to applicant:...........................................
Verifiers Company E-Mail address:..............................................................
Verifiers Company telephone number:.........................................................
Date:
Private Study: Such as distance learning, Open University, Writing papers, Reading, Research on
the internet/journals etc.
Short Courses: Attendance at short courses, seminars and presentations
Attending Conferences, symposia and exhibitions
Additional Study: Learning foreign languages, new computer skills etc.
WJS/Professional Membership
Meeting (non-social): Attendance at branch or technical meetings/webinars
Further Education Studies
Imparting knowledge: Making presentations, preparation of papers accepted for
conferences/publications, coaching/teaching/lecturing
Please indicate how you have kept up-to-date with developments in welding technology over the last
five years.
AUTHENTICATION
Name of responsible person:
Email:
Authenticating signature or stamp:
**If a professional member you have the option to use the online CPD system www.twiprofessional.com
RECORD OF INSPECTION EXPERIENCE Visual / Welding / Senior Inspectors & Plant Inspectors
(Below to be completed by the listed above certificate holders only)
This section should record the principal features of your job specification detailed overleaf and should
show your specific inspection responsibilities.
Principal products/activities __________________________________________________________
Materials involved __________________________________________________________________
Welding processes used _____________________________________________________________
Codes and standards involved ________________________________________________________
For the security of CSWIP certificates we use Agents for delivery in most countries and send all
new qualifications on a weekly basis by courier service.
We need to provide our Agents with either contact phone and/or email address for yourself so
they can contact you if necessary regarding your package.
Please indicate below regarding this request by signing the relevant section and returning this
form with your renewal package.
SIGNED _____________________________
DATE _______________________________