TWI enrolment form PLEASE SEND THE COMPLETED FORM OR A PHOTOCOPY WITH YOUR PAYMENT AND THE NECESSARY ENCLOSURES TO: ‘TW Training & Examination Services TTRAQSIEXO7 Doc 1 Rev.25 Page tof Please tick: [Blewewess —(Clownoay pein Methods of Payment Ful payment and / or Company Order no. must accempany this booking ‘TWIMIDDLE EAST FZ-LLC Agent name: form, Bookings received without payment /order Number vil be treated a5 Knowledge Vilag provsional, which does not guarantee a place, Block 11, Office no. F-10 Pawo Bank Transfor Dubai, UAE Made payableto: TW Micdle Eest FZALC Swit Code: NBADAEAA Bank Name: First Abu Dhati Bank PUSC (FAB) Tol: +971 4 458 68 57 enauirese@wimecom ‘Address: P.O Box 116977, Dubs, United Arab Emirates (Currency | Account Number TBAN Number Presi rickscusccumaLucricsrrREHOT ED. TzeTs2 1955763 70 | E7051 TST OERTESDIO USD. Zora2 1oss769 021 | AEB1035 20192 1055765021 ‘TW Candidate 1D Number: BP. 1Zot32 1955768052 | AZE25 1201921955 7EDOSD (kn EUR Tzats2 (956760 3 [| ABeOnN6 (207921655 7ESDSS sat Candidate's Family Neme (as per ID / Passport) S|UIRIN|AIM[E Candidate's Middle Name (as 'Jo[p[t Je [Nn M Date of Birth] 2 5]/(ol4)/ [Js [als Permanent private address Apartment or Build Province if there is), Country Name Postcode Private Tel Emergency : Correspondence address (ferent tem above) 00971 = exor0e Invoice address (i iferent from below) ‘Sponsoring Company and Address Province (if ther is), Country Name Postcode: 123456780 ‘Contact Name: Name & Family Name Fax: 00971 - sooncex00x _S soenetnelaaae et — Doyouhavea disability orany pecal needs y wo] nto ths course or examination? > or Company order No: ‘Approving manager's name: if you wish to pay by Credit Card please call Customer Senices who will take payment deals on #971 4 458 68 57 Vere “Au Dhabi Dubai Dam Jubal A Khabar Jizan secdan Yontu Ryech extrem Museat Sonar Fy sevancria cairo Lagos Harcourt Others Whar you hear abou WH La? [1 twncoreate webste com wesste CO cret raetng 1 sein scomect Linkedin Facebook NOT News insight Exhibitions / Events Ooo0o00 ooo seach Ware Mout [21 oer ease zecnp GOPR statement Please tick the ba it you are heppy for TWI to send you information regarding TW! training events and career progression oppertunities. ‘We will nctshare yout data with anyone ese Please note for examination candidates only: {As par of the certification process, candidate contact details wilbe passed tothe relevent Cetcation body to enable completion ofthe ceticain oor 60 tick if you are [Z1 amember of The Welding & Joining Society ET anenpioyee ofan ndusial Menber of Tt Internal Use Only Booking RefTWI enrolment form ane Dos Rev2 Page 20t4 Section 1: ‘Examination retest ofa previously fled Type ‘examination Examination beri PCN ASNT PCN or BGAS Approval Number: Current CSWIP qualifications held: Section 2: CSWIP Welding Inspection exami ted in full by all candidates for Welding Inspection Examinations) ‘Pleas by king the box nce the examiaton of yourchoie Owen [Bd wen Dl swean (OD) smea (LD) avercomr LE Erdoserent [EJ insur [EJ swear |] accocctor |] ASME nx Pre-certiicaton experience CCSWIP Welding Inspection Scheme document stipulates the minimum requirements on the indistrial pre-cetiation experience. Compliance with these requirements isan essential par of the light eiteria, Please refer othe latest version ofthe scheme document published en the CSWIP website vn i basi pai ga er oan a and an oseos ATTN oo an Weg (3.0) feering experience and two years industrial experience. Welding hepa foe rimum ofS years wh expatence elled tote ies and rexpansbiis edn Ouse 122 under (polled spo, open aod wi (34) Certified Visual Welding Inspector for a minimurn of 2 years with job responsibilities in the areas listed in 1.2.1 and 1.2.2. Weng marco er Weldng FeremanSupentsr fr a ranimum of yar om Cette Weng Inspec for a ranirurn of years wh ob espnsbaes in anresan 5 years’ authenticated experience related to the duties and responsibilities listed in Clause 1.2.3, independently verified. Ly | Aerts csr 3:2 Sene Weng npr xin ps ee ors consented eaprence ote asad mai Tespostilie ean Fuerte! egal Seer o Acurrent valid CSWIP 3.1 Welding Inspector with 10 year’s documented experience related to the duties and responsibilities or an Romebond exiedert Hat cuent ald Senor Weldng mspedar or eratonal equal. LE | cmttea wang nepecter wih ve yor elvan verted werk expetcis a nemalonal equivalent ASME IX AHNC in Welding Fabrication Waking n quai ora ncn raed owen aves wih ve years vere waking experience hs could eae toa CSP we Dracer Please give 2 deta satoent of how you meet the requrerets this rust be signed and verid by an employed pry) Thave working experiences as welding Inspector for three years or more Section 3: Underwater Inspection (oe canpltedin iby al candidates for COWIP Underwater Inspection amination) on ying cet te examine cf or tle ow O32 Oo ob Ly Asca [Ly cmarie Pre-certiication experience (CSWIP Underwater Inspection Scheme document stipulates the minimum requirements on the industal pre-certfication experience. Compliance with these requirements isan essential par of the eligibility eiteria, Please refer othe latest version ofthe scheme document published on the CSWIP websie. Evidence of experience shall be completed using form EXO7 ~ please contact TWI Customer Services forthe relevant form.TWI enrolment form TRAIN Beat fev 25 Pagesore Section 4: NDT examination (tobe completed in tl by all candidates for CSWIP NDT Examinations) Piaase tek relevant box in each tection Method, Love Industral sector an hee appropriate) UT eatery atod Pr ut Oo eT “aCe RT Radner’ |] ROR ‘RIOR BRS RPS oF PAT I tr AUT orem PAC oe a IL) Fresoow cove Tevelt level? LI wes Indus soon ecto Industy Sector [[-] _ Generel woes [LE] cosines [EJ _wraone Fecgnge |] Tibess Pres [LJ Aero Ureateoone [ED ot U7 De * _[ onmraeng Industral expertence Experience is net an essential pre-requisite for examination, However, if such evidence is available atthe time of examination, it should be provided rect to the Examination Centre. Experience satisfying the requirements detailed in CSWIP ox PCN documents may be gained fllawing examination. Once evidence of ‘experience satisfying these requirements is accumulated, t shouldbe sent to Customer Services, Please use the form NDT 15A (CSWIP) or PSL/30 (PCN). Ser NB: Plant Inspection (oe completed in ullty a canddtes for CSWIP Plant inspection Exeminetons) Poss by tein the bat isiat the examination of your choice Levelt Level2 Level Endorsement recertification experience (CSIMIP Plant inspection Scheme document stipulates the minimum requements on the industial pre-cetiiation experience. Compliance with these requirements Is an essential part ofthe eliiblly entena. Please refer tothe lates! version of seheme document published on the CSWIP webste. Pose tick evant hx thie must be signed ord verified by an employerthin pay) Tiheld current approved NDT Level 2 (ACCP, GSWIP, PON or ASNT) in two methods, one of which must be Ultrasonic held CSWIP Welding Inspector or higher Pant inspection Levelt Tihold HNC in Mechanical Engineering or equivalent TThave a minimum of Five years, assessed and authentic can be supplied - Must be Authenticated by Line Manager 3d industry experience in ths feld (Mature Entry Route), a verifed CV Plané nepedtion held @ valid Levelt Plant Inspector approval Level2 TThave successfully completedthe Level 1 exams as a pre entry requirement Pleas give a cated statement of how you meet the requtement is mus he signed and ered by an employer ary) Section 6: Other examinations (tobe completed in full by all candidates for any other examinations) Pose tick ae spectyexamtile a required Paste wetang [ED _otsnere vist nspecter GAS Examination ttle required: Pre-certiication experience CSINIP and BGAS Scheme documents stipulates the minimum requirements onthe industrial pre-certfication experience. Compliance with these requirements | an essential part ofthe elibltyerteria, Please reer tothe latest version cf scheme document published on the CSWIP website, Please contact TW Customer Services for advice on relevant forms end documentation requiredTWI enrolment form TAO et fo 25 Page dots Section 7: Candidate’s declaration tobe completed in ful by al applicants) [understand at TW Lid and ts assoc wasing companies (ad compares, genial oF agens process data ots aba willl and use ptcnal date supped by me fr adnan purposes as per GOPR requemers [agree to ead te Heath & Safety and Secutyinfraton provided by TW and abi by he guidance dre, understand rat cresionaly mages of aning ard @ainaion are take by TW fe publely and ter pupores and hat permisson fr my neon n euch tripled unos Imake thrown to Customer Sences atria tat | wh feat, Tent at hae read and comply wi he pre exist ey regents a ld down Ine lates versen of CSIP Requerent Documents valle on CSIP website) ‘nduncertacthat any feud ham may est in the reaction olny carteste sued Ihave ead ancunderstoodthe dcumartaten nse bythe scheme menagprant at's ‘elsventto te esaminaton fr wtih lam apeyng and decare tet at hove rtriacoveng vision hain and expeence, Taccept responsi fay evamiraen ees the ever of non-payment bythe sporsar agree to abide bythe requremens fer aca o relevant he exaanabon which am appiing In pare greet comply, apples. yh the COMP rls on uae ondriase of eticaes endo potsional ean aee wires com), Tundersand hat ary appel agit an evar rit muse receive win scons ofte vam dae, Taga to provide ary ational dcurersandinternatonrequted by exist body to upper my enone understand hat ary ale daterent may resitin the exinain beng invalid Inthe event cancelation by you, the event le andthe acconmodatn fe (fappcal wl be returned loss a cancelation charge 20%, Wessthan 14 days nace la gue by you, ‘TWireseresthenight torte the whole ee, TW eserves te ight cane! the evertin cee of aula egisaton er lnes flctues, TW tenure msi pose note Is gen the ators anc reserves the rit to subetue lecturers and med te course tals a8 equred By sing the Eolnent om con compete azapance ofthe TWI Li Tees and Contans of Traiing copy alae on request Candidate's Signature: Section 8: Verification tobe completed in ful by all applicant's verifier) Verification isan essential pat ofthe exem eligilty process, andthe vetcation contac deals provided by the candidat ‘exam eligilty process. The verter wil nc be centacted by TW for any arkeling or promctional purposes, and their ‘outside TW or CSWIP cerifcation body. si ene Name (in capitals: Your Verifi ind Family Company & postion: Your Verifier Company Name and Position Proessioal elton tothe cenddate. Chief or Manager erie Telephone no: 00974 - xxXxxxxxxx. ceo aes a ——— Dov: 2021012 ai ‘utherated Cempany Stamp Verifier’s declaration: othe best of my belle, the candidate's statement given above is carect at the time of signing \Vetifer's Signature (employers or equivalent) (Parade sas ee)