APPEAL FORM : TO WAIVE RETEST

TO RE-APPLY RETEST

TO WAIVE RE-QUALIFICATION

Name :

Welder number:

Date of Qualification:

Section :

Yard/ Contractor :

Project :

Date of Failure :

Location & Description :

Reasons :

Performance Record :

Welder's Singnature &

Date:

I do hereby appeal to Waive retest/ Re-apply Retest/Waive Re-Qualification for the above mentioned welder
on the basis of his particulars mentioned above. Please grant the appeal.

Yard / Contractor's Representative

Name & Signature :

Date :

Performance Record & Supporting

Documents Verified By:
(Name & Signature)

Date :

Appeal Approved By :
QA Department

(Snr. Section manager) :

Date :