TWI enrolment form PLEASE SEND APPLICATION WITH YOUR PAYMENT AND THE NECESSARY ENCLOSURES TO: TWA Training & Examination Services TWT Midd Bast FZ—LLC Knowledge Village, ‘Block 8. Ofice 0.114, 116 & 120 P.O, Box 302951, Duta, UAE Tel +971 4364 301012 Fax: 9971 4367 8035 Fema: deedarshabi@tvime.com:serldine makosag@twimw.com PLEASE USE CAPITAL LETTERS THROUGHOUT Personal Information: ‘TWI Candidate ID Number: Coursere? __WISS Course tile Candidate's family name D.PRABU Candidate's given name (8) D.PRABU, Date of Binh (dd/mmiyy) nt private address 5106/1983 (Home Country Address) “TRADS/EXO® Doc I Rev 10 Page 1 of Please tick: Self Sponsored _! ‘Company Sponsored General documentation required from everyone 1. Payment or company’ or 9, o 2. Two passport photos with your name clearly ‘printed onthe back (lease donot staple to form) o 3. Vision erifcae a ‘Additional documentation for recertification and retest 4. Copy of previous examination results notice a 5. Two passport photos with your name printed on the back 6. Defer fete from scheme management o (GFepiry hasbeen extended) the event of cancellation by you, the event fee and the charge of 20% reserves he right fo retain the whole fee. cancel the event in case of insufficient registration or ness of lecturers. TW wil ensure maximum posible notice i 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, hooking form. Bookings received without paymenvorder number wil be treated as provisional which does not guarantee a place. Dcash Cheque Ora made payable to TWI Middle Fast FZ.- LLC, DERBY, HSBC Bank Middle East Ld, P.O. Box 66, Dubai, UAE. 9.CJANGALAPURAM (WEST) ‘Account no, 021 218367 001, Swift: BBME AEAD OR SENDAMANGALAM _(P.0) NAMAKKAL (D.1)__TAMILNADU INDIA posteode: 637409 Private telno _050-1381046 E-mail _PRABU.MPTMT@GMAIL, Correspondence address (if different from above) HAMDAN ST, ABUDHABI Company Order no Approving Manager's Name Title | would prefer an examination in week commencing (ove will do our best to meet your requirements, but reserve the Invoice address (iiferet ftom below) gat Games ohecaatecs) Venue: Abu Dhabi [UY Dubai Sharjah Sponsoring Company and Address TYCO FIRE & SECURITY UAE ee ile ia HAMDAN STREET ‘ABU DHABI UAE posteode _3333 Other Contaet name RASHID MAHMOOD Telephone _02-6777776 Fax _02-6768746 Booking Ref /AECOM‘TRAOS/EXOS Doe I Rey 10 Page 20f 4 Examination Applied For (to be completed in full by all applicants) Examination Type itil, supplementary, renewal retest of a previously filed examination Examination Body: CSWIP, PCN, AWS, ASNT, BOAS cswip PCN or BGAS Approval Number = ‘Current CSWIP qualifications Held ere GR oo iaing or = INITIAL LRUT __DigRad 1 2003 | Categories: a ~ ‘Welding Inspection (please circle) Tevet (Level) Level CSWIMAWS —AWSICSWIP Supervisor Instructor __ Co-ordinator Endorsement Plant Inspection (please circle) Level Level __Level3___ Endorsement Underwater Inspection: (please circle) Please contact TWI for the relevant EX07 document 3.1U_3.2U_33U_3.4U_OGI__ASCAN Concrete Plastics: Please contaet TWI for the relevant EX07 document To be completed by all applicants applying to attend CSWIP Welding Inspection Examinations ~ | confirm that [have read and comply with the pre examination entry requirements as laid down in the CSWIP Requirement Documents - DOCUMENT No. CSWIP-WI-6-92, 8th Edition January 2008 und understand that any fraudulent claim may result inthe retraction of any certificate 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 cemployer/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 years with job responsibilities in the areas listed in 1.2.1 and 122, Welding Instructor or Welding Foreman/Supervisor fora minimum ofS years. PREPARATION OF WPS & POR AS PER ASME SEC.IX CONDUCTING VISUAL INSPECTION OF WELD JOINTS BEFORE & AFTER WELDING PREPARATION OF WELD MAPS FOR PRESSURE VESSELS & STRUCTRUALS ‘CUSTODIAN OF ALL WELDERS QUALIFICATION TEST RECORDS AND CONTINUITY LOG SHEETS. MONITORING OF IN-PROCESS INSPECTION [WELD EDGE PREPARATION & FIT-UP DIMENSIONS} APPLICABLE WPS/PQR TO BE PREPARED BEFORE THE START OF WORKTRAQS/EXOR Doe I Rev 10~ Page 3 of'4 PREPARATION OF WELDERS/ WELDING OPERATORS PERFORMANCE QUALIFICATION RECORD [WPOR]. MONITORING OF ALL WELDING ACTIVITIES DURING PROJECT EXECUTION FOR COMPLIANCE WITH QUALIFIED & APPROVED WELDING PROCEDURES & VERIFICATION OF DEPLOYMENT OF QUALIFIED WELDERS. RADIOGRAPHIC INTERPRETATION OF NDT & REVIEW AND SIGN OF UT, MPT, PT REPORTS WORKING WITH SOUND KNOWLEDGE OF SMAW, SAW, GTAW, GMAW, FCAW, Senior Welding Inspector (Level 3) Certified Welding Inspector (Level 2) for a minimum of 2 years with job responsi 123, 12.41,1.2.2 and 5 yeary authenticated experience related tothe duties and responsibilities listed in Clause 1.23, independently verified. TRAOS/EX0 Doc 1 Rev 10~ Page 3of 4NDT Pre-certfication experience Please list your specific experience and duration as required bythe scheme documentation and attach copies of log book entries if avilable for ‘DT examinations, this snot a pre-requisite for examination, however certification will not be awarded uni the experience i gained and cvidence provided. This experience must be verified by Your employer ora recent major cient: ‘To the hest of my belief, the candidates statement given above is correet atthe time of signing, Name (in capitals): _ RASHID MAHMOOD Compan TYCO FIRE & SECURITY UAE LLC Poston: QMOC MANAGER Telephone na: _ 026777776 mail Address: _RASHID@'TYCOFIREUAE.COM. Date: Authenteated Company Stamp PLEASE NOTE {undersand that TW1 Lid and is associated trading companies (and companies, organisations, or sets processing dats on its behalf) wil old and use personal data supplied by me for administration purposes. These purposes have een noted under the Data Protection Act 1998. The dats may also be tied to send seperate unsolicited mailings containing details of evens, new services, products ee. You have the righ to ask TWI Ltd NOT to send such mallings. Ifyou do not wish to receive this information from TWI Lid, please tick this box. You have the righ of access to personal data that we hold about you, om payment of the access fee not exceeding £10, Requess should be addressed to The ‘Data Controler, TWI Lid, Granta Park, Gt Abington, Cambridge CB2T 6AL, UK. [agree o read the Health & Safety and Security information provided by TWI and to abide by the guidance given. ‘understand that occasionally images of training and examinations are taken by TWI for publicity and other purposes and that permission for my Inclusion in sch materia is nplied unless I make't known to Customer Services at registration that Ido ot wish f feature 1d understood the documentation sued by the scheme management that is relevant (othe examination for wl Ham applying and lular Taree to nave read declare tat I satisty those criteria covering vision, training and experience. I accept responsibilty for any examination fees in the event of on-pay by sponsor. I agree to abide by the requirements for ceriieaton as relevant to the exa ly, I applicable, with the CSWIP rules on use and misuse of eortifeates and on profesional conduct (ee www-csmip.com)- ‘understand that any appeal against an exam result mast be received within six months ofthe exam dat {have rend the isting and include all he requested information. dated.