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TWI enrolment form

PLEASE SEND APPLICATION WITH YOUR PAYMENT AND THE NECESSARY ENCLOSURES TO:

TWI Technology (S.E.Asia) Sdn Bhd

(Formerly known as TWI Training & Certification (S.E.Asia) Sdn Bhd)

No. 8, Jalan TSB 10 Sg. Buloh Industrial Park 47000 Sg. Buloh, Selangor, Malaysia

Tel.: +603-61573528 / 7 /6 Fax. +603-61572378

E-mail: inquiry@twisea.com

PLEASE USE CAPITAL LETTERS THROUGHOUT

Personal Information:

TWI Candidate ID Number:

(if taken other examinations with TWI)

Course ref ____________ Course date _______________________

Course title _______________________________________________

________________________________________________________

Full name as I/C or Passport

________________________________________________________

Date of birth (dd/mm/yy) ____________________________________

Permanent private address

________________________________________________________

Postcode __________________ Car Registration No ____________

Private tel no ______________________________________________

E-mail ___________________________________________________

Correspondence address (if different from above)

________________________________________________________

Invoice Address (if different from below)

________________________________________________________

Sponsoring Company and Address

________________________________________________________

_________________________ postcode _____________________

Contact name _____________________________________________

Telephone ________________________________________________

Fax _____________________________________________________

E-mail ___________________________________________________

Please tick if you are

οA member of The Welding & Joining Society

οAn employee of an Industrial Member of TWI

Do you have a disability or any special needs relevant to this

course or examination?

Yes ο No ο

If yes, please provide details of any adjustments you may require.

TRA05/EX07 Doc 1 Rev 16 - Page 1 of 4

Please tick:

Self - Sponsored		Company Sponsored

WIM/WJS/TWI Industrial MEMBERS ONLY:

To claim your discount (course fee only) please enter your Membership No:

WIM Membership No. : …………………..

TWI Industrial No. ………………. WJS No. …………..

In the event of cancellation by you, the event fee and the accommodation fee (if applicable) will be returned less a cancellation charge of 20%. If less than 14 days notice is given by you, TWI reserves the right to retain the whole fee. TWI reserves the right to cancel the event in case of insufficient registration or illness of lecturers. TWI will ensure maximum possible notice is given to the attendees and reserves the right to substitute lecturers and modify the course details as required.

METHODS OF PAYMENT

Full payment and/or Company Order no. must accompany this booking form. Bookings received without payment/order number will be treated as provisional which does not guarantee a place.

Cheque	Bank Draft	BACS
made payable to : TWI Technology (S.E.Asia) Sdn Bhd

OR Credit Card (Please Indicate if Company Card) YES NO

Three digit security code ___________________________________________

Valid from & Expiry date___________________________________________

Issue Number ___________________________________________________

Name (as it appears on card)

_______________________________________________________________

House number and postcode of card holder:

_______________________________________________________________

Signature of card holder ___________________________________________

OR Company order no ________________________________________

Approving Manager’s name_________________________________________

Title _______________________________________________

SPONSOR’S SIGNATURE:

Date: _________________________________________________

I would prefer an examination in week commencing

(we will do our best to meet your requirements, but reserve the right to offer alternatives)

Venue:
Kuala Lumpur	Miri

Others: (please specify)

Where did you hear about TWI Ltd?

ο	TWI Training website	ο	TWI Training newsletter
ο	Bulletin / Connect	ο	NDT Cabin
ο	BINDT Publications	ο	Other

Internal Use Only

Booking Ref: ________________

TRA05/EX07 Doc 1 Rev 16 - Page 2 of 4

Examination Applied For (to be completed in full by all applicants)

Examination Type: Initial, supplementary, renewal,
bridging or retest of a previously failed examination

Examination Body: CSWIP, PCN, AWS, ASNT, BGAS

PCN or BGAS Approval Number:
Current CSWIP qualifications held:
NDT Method (please circle)	MT	PT	RT	ET	RI	UT VT	BRS
	RPS	LRUT	Dig Rad	PAUT	AUT TOFD		ACFM
Industry Sector: Aerospace, Welds, Wrought, Railway,
General

Categories:
	Level 1		Level 2	Level 3.2.1		Level 3.2.2 CSWIP/AWS
Welding Inspection (please circle)
	AWS/CSWIP		Supervisor		Instructor		Endorsement

Underwater Inspection: (please circle)
Please contact TWI for the relevant EX07 document	3.1U	3.2U	3.3U 3.4U OGI			ASCAN	Concrete

Plastics:
Please contact TWI for the relevant EX07 document

To be completed by all applicants applying to attend CSWIP Welding Inspection Examinations -

I confirm that I have read and comply with the pre examination entry requirements as laid down in the CSWIP Requirement Documents – DOCUMENT No. CSWIP-WI-6-92, 10th Edition January 2011 and understand that any fraudulent claim may result in the retraction of any certifications issued.

Please tick the appropriate box and give a detailed statement of how you meet the requirements, this must be signed and verified by an employer/third party -

Visual Welding Inspector (Level 1)

Although there is no specific experience requirement it is recommended that candidates possess a minimum of six months’ welding related engineering experience and two years industrial experience.

Welding Inspector (Level 2)

Welding Inspector for a minimum of 3 years with experience related to the duties and responsibilities listed in Clause 1.2.2 under qualified supervision, independently verified.

Certified Visual Welding Inspector (Level 1) for a minimum of 2 years with job responsibilities in the areas listed in 1.2.1 and 1.2.2.

Welding Instructor or Welding Foreman/Supervisor for a minimum of 5 years.

TRA05/EX07 Doc 1 Rev 16 – Page 3 of 4

Senior Welding Inspector (Level 3)

Certified Welding Inspector (Level 2) for a minimum of 2 years with job responsibilities in the areas listed in 1.2.1, 1.2.2 and 1.2.3.

5 years' authenticated experience related to the duties and responsibilities listed in Clause 1.2.3, independently verified.

Welding QC Co-ordinator

A current valid CSWIP 3.2 Senior Welding Inspector certification plus three years documented experience related to the duties and responsibilities or an international equivalent.

A current valid CSWIP 3.1 Welding Inspector with 10 year’s documented experience related to the duties and responsibilities or an international equivalent.

NDT Pre-certification experience

Please list your specific experience and duration as required by the scheme documentation and attach copies of log book entries if available for NDT examinations, this is not a pre-requisite for examination, however certification will not be awarded until the experience is gained and evidence provided. This experience must be verified by your employer or a recent major client:

Verifier

Name (in capitals):	__________________________________________
Company:	__________________________________________
Position:	__________________________________________
Telephone no.:	__________________________________________
Email Address:	__________________________________________
Email Address:	__________________________________________
Date:	__________________________________________	Authenticated Company Stamp
Date:	__________________________________________

To be completed by all applicants applying to attend CSWIP Plant Inspection Examinations –

I confirm that I have read and comply with the pre examination entry requirements as laid down in Section 3 of the CSWIP Requirements Documents – DOCUMENT No. CSWIP-11-01 and understand that any fraudulent claim may result in the retraction of any certification issued.

Please tick the appropriate box and give a detailed statement of how you meet requirements, this must be signed and verified by an employer/third party –

Plant Inspection (Level 1)

I hold current approved NDT Level 2 (ACCP, CSWIP, or PCN) in two methods

(BGAS Painting Inspector and CSWIP 3.1 Welding Inspection qualifications are acceptable as methods)

I hold CSWIP 3.1 Welding Inspector or higher

I hold ONC in Mechanical Engineering or equivalent

TRA05/EX07 Doc 1 Rev 16 – Page 4 of 4

I have a minimum of Five years, assessed and authenticated industry experience in this field (Mature Entry Route), a verified CV can be supplied – Must be authenticated by Line Manager

_________________________________________________________________________________________________________________________________________________________

Plant Inspections (Level 2)

I hold a valid Level 1 Plant Inspection approval

I have successfully completed the level 1 exams as a pre entry requirement

_________________________________________________________________________________________________________________________________________________________

To the best of my belief, the candidate’s statement given above is correct at the time of signing.

Verifying signature (employer or equivalent):

CANDIDATE - PLEASE NOTE

I understand that TWI Ltd and its associated trading companies (and companies, organisations, or agents processing data on it s behalf) will hold and use personal data supplied by me for administration purposes. These purposes have been notified under the Data Protection Act 1998. The data may also be used to send separate unsolicited mailings containing details of events, new services, products etc.

You have the right to ask TWI Ltd NOT to send such mailings. If you do not wish to receive this information from TWI Ltd, please tick this box . You have the right of access to personal data that we hold about you, on payment of the access fee not exceeding £10. Requests should be addressed to The Data Controller, TWI Ltd, Granta Park, Gt Abington, Cambridge CB21 6AL, UK.

I agree to read the Health & Safety and Security information provided by TWI and to abide by the guidance given.

I understand that occasionally images of training and examinations are taken by TWI for publicity and other purposes and that permission for my inclusion in such material is implied unless I make it known to Customer Services at registration that I do not wish to feature.

I have read and understood the documentation issued by the scheme management that is relevant to the examination for which I am applying and declare that I satisfy those criteria covering vision, training and experience. I accept responsibility for any examination fees in the event of non-payment by the sponsor. I agree to abide by the requirements for certification as relevant to the examination for which I am applying. In pa rticular I agree to comply, if applicable, with the CSWIP rules on use and misuse of certificates and on professional conduct (see www.cswip.com).

I understand that any appeal against an exam result must be received within six months of the exam date.

I have read the listing and include all the requested information.

I understand that any false statement may result in the examination being invalidated.

CANDIDATE’S SIGNATURE:

Question	Answer
Form Name	Cswip Form
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	how to fill cswip 3 1 logbook, cswip renewal, cswip stamp, cswip log book

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