Application Form for CSWIP Five Year Renewal (Overseas)

1. CERTIFICATE HOLDERS DETAILS

Name Elkhan Hasanov

House/Building name or number House 13,apt. 9
Street/Road name Frunze
Town/City Baku
Postal/Zip code AZ 0121
Country Azerbaijan
CSWIP certificate number 688025
Contact email Elxanhesenov110@gmail.com
Contact telephone number +99470 521 55 72
Date of Birth 9 november 1979

2. FEES-
The Fee for processing this Renewal Application is £150.00 (Pounds Sterling)

Please note all certificates will be sent via standard post with no tracking details, unless a courier fee is paid. TWI CL
advises the use of a courier providing tracking details as we will accept no liability for items that are delayed, lost or
damaged when sent via standard post, this is an extra cost of £42.00. By selecting to use a courier you agree to TWI
CL sharing your details with relevant third parties (including approved TWI suppliers) to facilitate your request.

Please tick if you would like your new CSWIP certificates sent to you by courier ☐
(Please Note: We will not be able to courier to addresses with P.O. Box numbers)

Payment Options

a) by Bank Transfer using TWI Certification Ltd bank account details below:
Please ensure that when you are making a Bank Transfer you pay all bank charges, ensuring that TWI
Certification Ltd receives exactly what is required from you.

It is important that your bank gives the following information when sending the transfer- Your name, your
certificate number and date the money was transferred. Please send with your application a copy of your banks
confirmation that payment has been made.

Bank name and address BARCLAYS BANK PLC, MARKET PLACE, SAFFRON WALDEN, ESSEX, CB10 1HR,
UNITED KINGDOM
Account number 60919349
IBAN number GB61 BARC 2074 2160 9193 49
Swift code BARC GB22
Branch sort code 20-74-21

b) by a VISA or MasterCard Credit/Debit Card - give details below.

IMPORTANT: New legislation does not allow us to receive any card details by email. Please enter card details just
before posting or telephone +44(0)1223 899000 with the details. Please note – any application received by email
will be automatically deleted. We thank you for your co-operation with this. (Please note that any email received
containing credit/debit card details in the body of the email or on an attachment will be automatically deleted)

Page 1 of 8 CSWIP/5YR/2023
 Credit/debit Card Holders Name
Card Number
Expiry Date Start Date
The Last 3 Digits of Security code on reverse of Card

PAYMENT BY COMPANY: If Payment is being made by a Company then please provide full company details
including contact name and company email address with your application.

Company Name
Contact Name
Address

Telephone Number
Company Email

3. LOG SHEETS

RENEWAL OF CSWIP CERTIFICATES GUIDANCE NOTES ON COMPLETING THE LOG SHEET- see page 4

In order to qualify for renewal, you will need to demonstrate that you have carried out satisfactory work activity with
reasonable continuity during the previous five years. “Reasonable continuity” means that an absence of change or
activity (preventing you from practising the duties corresponding to your certificate) for one or several periods
during the validity of the certificate does not exceed a total of one year. Certificate holders not able to satisfy the
continuity rules will be treated as initial candidates.

Page 2 of 8 CSWIP/5YR/2023
Important: All of the Items that are listed in the Checklist below must be produced for your application to be
successful.
Incomplete applications will incur an additional administration fee, (minimum £48.00).

CHECKLIST FOR APPLICATION

Please check that you are sending all requested documents and tick to confirm they are enclosed with this
application

Items Enclosed TICK

1. Candidates Details (application form)

2. Method of Payment Credit Card Details Provided

Copy of your banks confirmation that a
Bank Transfer has been made
successfully and state date transfer was
sent

3. Original Log Sheets or employment pages from your Log Book (Signed and
stamped) by your employer(s) covering at least 48 months out of the 60
months covered by the certificate you are renewing
Please note that we do not normally accept experience or employment
certificates.

4. Completed Continuing Professional Development Form

5. Record of Experience (Give details for your current or most recent employer)

6. One Current Passport Size Photograph of yourself taken within the last 2 years
with your name printed on the back of the photograph

7. An original document, giving results of an eyesight test taken within the last 2
years, confirming that you have taken a near vision sight test.
All CSWIP NDT (ISO9712) Certificate holders will need to submit results of a
near vision eye test taken within the last 1 year.
Your optician must clearly state that your vision meets one of the following
standards:
Either aided or un-aided you can read Times Roman point size N5 or Jaeger
point size J1 at a distance of not less than 30cms.

All NDT certificate holders must also provide evidence that they have passed a
colour perception test assessed using the Ishihara 24 plate test.
All Radiographic Inspectors, Radiographic Interpreters and TOFD Operators
must also provide evidence that they have passed a grey perception test.
For your convenience a form for this is attached.
8. The CSWIP Certificate that you are applying to renew
(Photocopies of this certificate are accepted)

When complete please submit your application by post to:

TWI Certification Ltd, Granta Park, Great Abington, Cambridge, CB21 6AL, United Kingdom

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EMPLOYMENT LOG SHEET –(Please complete a log sheet for each employment )

Please print out as many of these sheets as required

CANDIDATE’S NAME: Elkhan Hasanov

DATE OF BIRTH: 9 november 1979

Company name & address:

Dates of employment or contract:

From: (DD/MM/YY) To: (DD/MM/YY)

Position held: NDE Coordinator/QC Inspector

Brief outline of your job description and duties:
Conducted inspection before,during and after welding of piping and structural assembly.Monitored
daily handling of welding consumables.
Assisted and arranged NDT requirements for piping,tank and structural steel.
Work as per project specifications and standarts.
Monitored the welding parameters and heat input.
Witnessed hydro testing of pipingand valves.
Prepared observation reports.

Declaration: I SIGNATURE & STAMP

(Name of verifier 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: Date:

Page 4 of 8 CSWIP/5YR/2023
Verifiers Company E-Mail address:

Verifiers Company telephone number:

Page 5 of 8 CSWIP/5YR/2023
4. CONTINUING PROFESSIONAL DEVELOPMENT (CPD)

All CSWIP and BGAS-CSWIP certificate holders are required to keep themselves up-to-date with technical
developments in their field within the Industry. Continuing Professional Development is required for your certificate
renewal. (Approximately 35 hours of CPD per year is recommended).

Professional development can be achieved in any of the following ways, depending on your personal circumstances,
learning style and opportunities available to you.

 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.
 Membership of a professional body
 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 undertaken professional development during the five years ending on your
certificates’ expiry date. (You should not enter your work duties in this section.)
Date Details of Your CPD Activity Hours spent
Attended welding inspector courses 48 hours
Studied applicable codes and standarts 128 hours
Participated on the welding equipment exhibitions.
Learning welding inspection books and standarts
Leraned weld defectis causes and preventions

Please Note: If a professional member you have the option to use the online CPD system
www.theweldinginstitute.com

Page 6 of 8 CSWIP/5YR/2023
5. RECORD OF EXPERIENCE

INSPECTION EXPERIENCE

Visual/Welding/Senior/Plant Inspectors & Welding Quality Control Co-Ordinators

This section should record the principal features of your job and show your specific inspection responsibilities as
indicated below.
(To be completed by the listed certificate holder only)

Principal Products/Activities - Piping,structure,tanks,vessels

Materials Involved - Carbon steel,stainless steel,alloy steel

Welding Processes Used - GTAW; SMAW; FCAW; SAW; GMAW

Codes and Standards Involved – EEMUA 158; API/104; ISO 17637; ASME II ; ASME 31.3; ASME VIII;
ASME IX; ASME V

NDT EXPERIENCE

For NDT Personnel Only

This section should record the principal features of your job and show your specific NDT responsibilities as indicated
below.
(To be completed by NDT Certificate holders only)

Principal Products/Activities -

Materials Involved -

NDT Techniques Used -

Codes and Standards Involved -

Page 7 of 8 CSWIP/5YR/2023
 TWI CL Eye Sight Test form
Name of individual Date Of Birth
tested
Address

To comply with certification requirements, all CSWIP & BGAS-CSWIP Certificate holders are required to
submit results of an eye test taken within the last 2 years. All CSWIP NDT (ISO9712) Certificate holders will
need to submit results of an eye test taken within 1 year.

ALL CSWIP & BGAS-CSWIP CERTIFICATE HOLDERS MUST TAKE A NEAR VISION TEST:

Is the above named person capable of reading Times Roman N4.5 or Jaeger 1 on a standard reading test
plate at a distance of no less than 30cm unaided or corrected in at least one eye?

CAN READ UNCORRECTED CAN READ WITH CORRECTION IS NOT ABLE

All BGAS-CSWIP & CSWIP NDT Certificate holders must also provide the results of a colour perception test.
Colour perception shall be assessed by the Ishihara 24 plate test.

Colour Perception Test: Satisfactory Unsatisfactory

Radiographic Interpretation, Radiographic Inspector & TOFD certificate holders are also required to
complete a Shades of Grey Perception Test.

Shades of Grey Perception: Satisfactory Unsatisfactory

DETAILS OF PERSON PERFORMING THE ABOVE TEST:

Date of Test: Print Name of Person who Performed the above Test:

Signature of Tester: Emboss official stamp here:

Profession please tick:

Optometrist
Medical Doctor
Registered Nurse
Certified to ISO 9712 Level 3
Other medically recognised person (please
specify their qualification)
(Please note that tests carried out by ASNT
certificate holders will not be accepted)
Eyesight tests provided by opticians/hospitals etc. will be accepted as long as they clearly state that all of the
requirements have been met. If needed or for guidance please use this TWI CL Eye Test Form. Any observed difficulty
during the eye test should be reported to the employer.

Page 8 of 8 CSWIP/5YR/2023