TRAINING AND EXAMINATION SERVICES Document na by 'W Vim Experience Claim Form NDT45A rev. 1 Page _iof2 — —-- Before completing the information ~ please read carefully guidance on the reverse ofthis form ——- Candidate details Name * PANTA HARTSH KUMAR REDDY Date of birth? 18]oe/iqa0 Candidate 1D? 4oees4 Current and former certification * Method & Level ® Expiry date ® Paut Lo. 24foi] 2023 Pen uT 23}n] 2022 Pen! Experience claimed * Method & Level? | Experience claimed since "? | Number of months’ _| Date of examination * UTL2 | Feb 2018- THE 22 PAUT b> Feb 20 TILE eel | torp L2. | Dec 201k - May 2019 OH Description of experience le Carried and Reviewed UT & PUT activities on Piping, Tubes according -to ASME BBI3 and ASME SEC Vv: 2 Cowvied and Reviewed UT ¢, PAUT getivities Of Power boiler Tubes and PILES Fabrication according +0 ASME SEC | and API RP 2K: Bs carried and Reviewed PAUTE, TOF D astiviiies on Support Joint according +p IS0 14285) Date [6-t2-2019 | Candidate's signature ¢. u el. Verifier details * Name ** Position” E-mail ® Declaration —_| | have reviewed the information provided and can confirm the candidate gained experience as indicated above. Date Verifier’s signature & stamp "= Before submitting, the completed form please ensure all fields are completed and all required documentation is attached (see guidance on reverse) Completed form with attachments should be submitted to TWI regional office,Twi TRAINING AND EXAMINATION SERVICES Document no. Via Experience Claim Form NDT15A rev. 1 Page _20f2 Experience claim form — notes ‘The full name of candidate as stated on the original enrolment form (as it willbe shown on the certificate). Candidate's date of birth in the following format 00/MM/YV¥" (e.g. 20/08/1968). ‘The six-digit identification number ofthe candidate (if own this is usually indicated on the result notice ‘The candidate is advised to list certificates, which may be relevant to the experience claimed. This may be certificates currently vali, issued under a diferent scheme or expired certificates in the method for which experience is claimed, For example: if a candidate is claiming CSWIP MT Level 2 certificate an expired PCN MIT level 2 certificate or MT Level centfcate issued under SNT-TC-1A scheme willbe considered during the claim review. Standard abbreviations to be used (eg. MT2, UTL3 etc). Expiry date of certificate in the following format MM/¥Y¥Y (eg. 12/2015) Should the certificate be based on EN 'SO 9712 the certifying authority who issued the certificate should be indicated (e.g. CSWIP, PCN, TUV Nord etc). In other cases a scheme document should be referenced (SNT-TC-1A, EN 4179 etc) “This form may be used to claim experience up to a maximum of three methods. If candidate needs to claim experience in more methods, n additional form should be used. Method and Level of certification for which the candidate is claiming experience. Standard abbreviations should be used. Start date from when the experience in given method was gained in the following format MM/YV¥Y (e.g. 06/2023) ‘Number of months for which the cancidate was directly involved in acti (e.g.9 months). ‘Note: The exnerience may be claimed only for the time period during which the candidate carried out the relevant activity under supervision. For example: Individual is employed as an NDT inspector since 03/2015, Among his duties ‘belong performance of the following methods: MT, PT, UT and ET. Since the start of employment, he spent S months only by carrying out MT inspections. Therefore, the claim form should indicate 'MT (2; since 03/2015, duration 5 ‘month’. Date of examination. Claim of experience is possible maximum 2 years after successful examination. ‘A brief outline of activity carried out during the period (as stated in months) when experience was gained should be provided. The activity must be strictly related to method In which the certification is sought. This section may be also supported by attached up-to-date CV. ‘The form must be signed by the candidate, Each form must be reviewed by verifier who by signature can confirm the information given to be correct. + Emploved candidates usualy have their experience verified by a Company NOT supervisor, QA/GC manager, Fesponsible NDT Level 3 etc (a certified NDT level 3 in given method and sector is preferred} + Self-emploved candidates usualy have their experience verified by main contractor for whom work was carried ‘out during the time when experience was gained ‘Name of verifier as stated on his/her certificate Position of verifier within a company and/or brief outline of verter relation to the candidate and his Involvement in supervision during the period when experience was gained. Veriter’s contact e-mal, Verfier may be contacted and asked for confirmation of relevant detals in case of doubt By signing the declaration, the verifier confirms accuracy of information provided. Verifies signature should be accompanied by stamp. Required attachments Copy of verifier's certificate Upto date cv (optional) Cony of candidate's relevant certificates (optional)