‘T6G8 NW 36 ST, #130 Mam, FL SBTO6GOT2 EXAM APPLICATION (800) 443.9353 or (305) 443-8553, ext. 273 American Welding Society® CERTIFIED WELDING ENGINEER (CWEng) 41. BACKGROUND Complete all items in this section Ja. Are you a current AWS Member? No CiYes Membership 1b, Have you ever been certified by AWS? CNo es Certification Number(s) MOF NGI 1c. Have you taken Parts 1 & 2 of the AWS CWEng exam? No QYes State and Date of Exam 11¥8, complete ony Sections 2, 3, and 4 and sign below Section 3 because you hod been previous quod ond areether eligible to take Pare 3 & 4 orretestf fied NO, comoet al parts unless Ie 1 orig beow apples. 1d, Is this an application for aretest? @No Yes Reteston which part(s}? QPart1 OPart2 OPat3 Pata IF YES, complete ony Sections 23, and, and sign below Section 3 because yo had ben previously qualified. IFO, completa pars that pert 1e. Do you possess a current State Professional Engineering License in Welding Engineering? No Ces IFYES, you are exempt from all Parts; attach copy of certificate and complete Sections 2, 3, 4, 8, 9 1. Do you have an international institute of Welding IWE Diploma? Diploma Aton ceifcate copy and complet Sections 23 1g. Do you have a European Welding Federation EWE Diploma? No Dives, Diploma#__....- Attach certificate copy and complete Sections 2, 3, 4, 5, 8, 9 ah, Have you passed the Engineering Fundamentals Examination (formerly EiT) administered by a State Board of Engineering? No Des If YES, you are exempt from Parts 1 & 2; attach copy of exam results and complete all parts State and Date where exam was taken 2. Personal Information Last Name First Name Mi AB Te(tF a AA IH] BAIS ISTA ‘ADDRESS ‘APTNo. CRTeel ep yer I / Zip Code/Postal Code City and State / Province EUSPEEL EH al ED yIPre I LI Home Number Work Number Cell Number E-Mail Address a [en[gl-Iblals 5 lalmlg[7i@g[msli [t]- ele! [TTT TI 111 [Sign me up to receive text alerts regarding my certification status Ci Sign me up to receive text information regarding other AWS products and special promotions. ‘Normal text messaging rates & fees apply as determined by your cellular provider. 3, Indicate the Exam Location of Your Choice. * Site Code sam Date: y/State Submission Deadline: site Code: Exam Date: ciy/state Submission Deadline Site Code: Exam Date: Cty/state: adline Ws stronaly recommends the applicant selects a second and third site location altemative. ithe fist chee Is not available the next availabe location wil bbe selected. Please do not make any hotel or fight arrangements until you have received your exam confirmation leter from the Certification Department. By signing below, | verify | have read and met the standard requirements for re-examination. | agree to comply with the provisions set forth in the Standard concerning the administration of my examination and certification. | further understand that any required information that is incomplete or missing will cancel this ap Applicant's Signature Poesscunn Qheeck Abd Fl Fadfah Date: _s . fo- Zo15 4, Method of Payment-Payment must accompany your application. All checks and money orders made out to AWS. (Cicheck or money order # DISA, Omc AMEX ODiners ODiscover cor / J l fxp:__/____ signature TAWSUSE ONLY cweng Clans 182 (parts 38.4 ‘Acct t: Date: Amts: ‘CWEng Exam Application Page 1 of 4 September 18, 2013Name: ‘Account Number: 5. Qualifying Work Experience DO NOT SUBMIT YOUR RESUME, Please refer to the CWEng Education and Experience Requirements. If you have held more than one position with the same employer, list each position, including dates, on a separate line in part B. Complete a work experience form for each employer, listing your present or most recent employer first. MAKE AS MANY COPIES OF THIS FORM AS NEEDED. WORK EXPERIENCE FORM ‘A. EMPLOYER ee Co-ke Superdsorfpint of contact “Vanes ease TehNo__o\n 9543339 0 Bowstieet Cty Deaca Sterner Dec county Esiypek — Do/potaeade B. Job Title ‘om month | wear To rronth yeor | TorlHofyearshere | aslyeecanees heclding aud IDE cngyeaeoe eS 16 Primary product or service at this employer: C. Experience Requirements. + Check the box(es) below which best describe your main experience(s} 1+ Indicate the type of activity or function most closely related to your duties, safety, design, metallury, welding/cttngoining process, NAC) sample x] Menufctarng Welding OA deslaned welder ualfction program, designed supper ualfcatian sytem ee weldéng , ADT, material science , metalluegy Fabrication Petrochemical , ReVining constuction Research & Development Training E. Give brief description of your activities and experience as they relate tothe functions and activities of the CWEng. Respersiole Foc vielding oni WOT actrwites - Beveloorng cellivg pracdures , welding, ecPniques — Test naw welder Proess and tmProve existing processes = qualify, welders crecardingy to ore appticd peoceline ‘cweng Exam Application Page 2 of 4 September 18, 20135" October 2015 Our Ref. #: QA / QC TO WHOM IT MAY CONCERN We here certify that Mr. Bassam Ghreeb Abd El Fatah. is working in Korean GS E&C from June 2015 until now .He is working in QA/QC Department and his experience in NDE and Welding technology starting from July 2009 till now .and the last position title is Welding and NDE Engineer job description: + Responsible for NDT and Welding activities of ongoing fabrication and erection activities and + Develops welding techniques, procedures, and application of welding equipment to problems involving fabrication of metals, utilizing knowledge of production specifications, properties and characteristics of metals and metal alloys, and engineering principles: Conducts research and development investigations to develop and test new fabrication processes and procedures, improve existing or develop new welding equipment, develop new or modify current welding methods, techniques, and procedures + Prepares technical reports as result of research and development and preventive maintenance investigations. + Establishes welding procedures to guide production and welding personnel relating to specification restrictions, material processes, pre- and post-heating requirements which involve use of complex alloys, unusual fabrication methods, welding of critical joints, and complex post heating requirements. + Evaluates new developments in welding field for possible application to current welding problems or production processes. + Directs and coordinates technical personnel in performing inspections to ensure workers’ compliance with established welding procedures, restrictions, and standards; in testing welds for conformance with national code requirements; or testing welding personnel for certification. + Contacts personnel of other agencies, engineering personnel, or clients to exchange ideas, information, or offer technical advice concerning welding matters. QA/QC. Mgr. GS E&CName: ‘Account Number: 6. Educational Background ‘ce the highest rae and years attended a each evel J. Complete the folowing you graduated high schol or eameda High schoo equvalengy 41 Grade and highschool neluingveestonal) inion. 78 9 10 (Diz 1 Date of graduaton/isv, 2. ator igh shook rade technica vocation a2 34) 2.0 and sehoossuing agency a 3. colege 1234@ ist education below You must attach supporting documentation (eg, copes of transcripts, eiplomas, et}. Please lst only the tems that are necessary to satisty lesucstion requirements for CWEng certification. er Risin an ng aya — lerchellnray andockud scored engl berflaccserhal erence” nddeess,~ ase ey ype Bisse [Dem engineering [se ries asciine [Basc:inengtechnotogy gn sna los ese. mnensnerng J $e rated inne 18 cn eng chology IAS. cree igh soo lors BSc engineering 18 Se meng temelogy IAS. saree high shoo poms 7: Photo Identification Card Applicants MUST submit one (1) passport-style color photograph in the size of 2X2 with this application. Please print your name ‘and membership number (if applicable) on the reverse of the photograph. "The acceptance of your photo is always at the discretion of AWS." http://www.aws.org/w/a/certification/photoidregs.htm| 8. Proviso Upon obtaining my certification, | give AWS the right to reveal my certification status as it relates to my validity and expiration date only. No other information related to my certification isto be revealed. (ZJves_ (No 9. Notarization hereby certify that | have read and fully understand the requirements contained in the CWEng Information. Further, | agree to comply with the existing requirements and any subsequent requirements, which may be instituted by AWS. | certify that the Information | have included on this application and the letters submitted are true; | understand that any false statement will nullify ‘this application; | give AWS permission to verify this information; | agree to comply with the provisions set forth in the Standard concerning the administration of my examination and certification. Further: | understand that the AWS Certified Welding Engineer credential DOES NOT imply the status of a registered Professional Engineer (P.£.) under the laws of any state or other governmental entity. Signature Bassam (Miah Dbl EU Cet bert Date_2f =I 2016 ‘Sworn to and subscribed before me, this day of, 20 My commission expires. Notary Public Signature (stamp and/or seal required) CWEng Exam Application Page 3 of 4 September 18, 2013,Name: ‘Account Number: 10. Employment Verification Please enter your name and then forward to your supervisor for completion. Make as many copies of this form as necessary so ‘each employer may use it to demonstrate the required years of experience. These forms must accompany your application. Dear Supervisor: Coxsema Qheewh Abd ALckthas applied for certification as an AWS Certified Welding Engineer. By making this application, they have stated that they have worked for you performing duties considered within the scope of welding engineering as checked below. This work experience is defined as one or more of the following and has been described by the applicant in the body of this application: Manufacturing. Experience shall consist of the design, application, or operation of welding lines or cells for the manufacture of welded products such as automobiles, appliances, welded pipe, or other welded standard product. Fabrication, Experience shall consist ofthe design, application, or operation of welding fclities that fabricate welded products. National, customer, or internal standards or specifications may cover fabricated products. Construction. Experience shall consist of design on welding construction of projects such as buildings, pipelines, ships, plants and power ‘generation facilites Research and Development. Experience shall consist of research and development to enhance welded products or processes, welding materials, ‘manufacturing, fabrication, field erection of welded products or the design of welding manufacturing systems. ‘Training. Experience shall consist of the Instruction of courses In various welding topics or related technologies. Company name GS Encineesivas §. Cousstvctaa Dept /Oivision__ DA/21 P. 0. Box/Street No: company email city State/Province Zip Tel. Now, Comments: verify that Gascon Qhicoh Abd £/ Fateh is/was employed by this company and does/did Frnt Applicants Name dicated on this application. carry out the described principle duties during the employment period(s) vwynames USAMA Amin GhaneO sy ios rneix Feachonal Honagee, OS och 20|S Tatiana Nae eae signature i ies himad : ccusapayanee. © wana Cin) ‘ook : o Lp GA Tae) Phone! | Sliriretheserous OF 00 Fy OF -Ce PY) (Coegtht ‘o10091 _}) —__Usomd, dsc @ Email Usama, dtl & gmait-com (CWEng Exam Application Page 4 of 4 September 18, 2013fo First Name _ Bes$ cus AWS American Welding Society Last Name_Abd £7 Labtec 8669 NW 36" St, Suite 130, Miemi, FL 33166 ‘AWS Member # Email certfication@aws.org Fax (305) 443-6445 Certification # (if applicable) Visual Acuity Record Applicant NS Certification exam information ty, State Certification Exam Date 1is form must be submitted for all Welding Inspector and Radiographic Interpreter applications. Applicants for the Certified Welding lucator are not required to complete this form. NS will not release exam results, recertification results, or renewals without a completed Visual Acuity Record on file, PORTANT: This completed eye examination form must be sent to the AWS Certification Department prior to the exam, submitted on e day of the exam to the Test Supervisor, or sent to the AWS Certification Department no later than 30 days after the certification tam date via fax, email or mail. Applicants who have not fulfilled all requirements within 30 days after the certification exam date shall 1ve all records, scores and applications voided and may be in jeopardy of forfeiting application fees. Eye Examination ‘e examinations shal be administered by an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse or Certified Physician's ‘sistant or by other ophthalmic medical personnel, and must include the stat or province license number. Examinations shall be *rformed not more than 7 months prior to the date ofthe welding inspector examination or recertification | applicants must pass an eye examination, with or without corrective lenses, to prove near vision acuity on Jaeger J2 at 12in. or greater 30.5 em). All applicants shall take a color perception test. Eye examination results must be documented on this visual acuity form pplied by the AWS Certification Department. No other forms will be accepted. ust be completed by the eye examiner Verify the customer's close vision acuity to Jaeger 12 specifications at a distance of 12 inches or greater(230.5 cm) _ (Check ONLY one ofthe following for each eye) a oo | os h Requires corrected vision to read Jaegar!2 at 12 in. or greater. _ - required to read Jaegar J2 at 12 in. ot greater. QO Op lo correction [1 [unable to read Jaegar 12 att | in, or greater even with attempt at correction. _ _ Oo Through color perception examination, isthe applicant colorblind? “Tepe ONLY ono te allowing foreach ye) ° Bo P| i Jcustomers wor coloring . (Customer IS colorblind, 7 pe Examiner's Contact Information (pvnt cleory) . Date of eye examination. — 1stomer name. Telephone number — faminer name ‘aminer address ty st/Province zip country Examiner professional status (check onl on) | ophthalmologist Cloptometrist Cimedical doctor Registered nurse} Certified Physician's Assistant aminer signature State/Prov. License number wal Acuity Record September 25,20