Eligibility Form For 3 (1) .0-3.1-3.2

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TO BE ASSESSED FOR CSWIP *3.

1 ELIGIBILITY

*CANDIDATE MUST DELETE AS APPROPRIATE

IMPORTANT INFORMATION, PLEASE READ

ALL INFORMATION MUST BE PROVIDED FOR ASSESMENT AGAINST CSWIP REQUIREMENTS


FULL DETAILS OF WELDING INSPECTION DUTIES MUST BE PROVIDED.
IT WILL NOT SUFFICE TO STATE JOB TITLE ONLY
A CLEAR BREAKDOWN OF TYPICAL DAILY DUTIES IS REQUIRED.
A CLEAR DECLARATION OF ACCURACY OF COMPLETE CV MUST BE MADE
PLEASE READ ANY COMMENTS HIGHLITED IN RED

FULL NAME: (FAMILY NAME LAST) DATE OF BIRTH

KOM CHOMKERD 11 MAY 1977


CONTACT ADDRESS: HOME ADDRESS (IF DIFERENT):
Thai Nondestructive Testing Public Company 539 Sinthorn Village, Happy Land Rd. Klong Jahn,
Limited. Bangkapi, BANGKOK 10240
267/157-158 Sukhumvit Rd., T. Mabtaphut,
A. Maung, RAYONG 21150

CONTACT TELEPHONE: 038 607567-8 Ext 13, 081 9869626 NATIONALITY:


THAI
CONTACT E MAIL: NATIONAL IDENTITY NUMBER (IF APPLICABLE)
nakoms@hotmail.com 3660600306592

TWI USE ONLY

CANDIDATE ELIGIBLE FOR CSWIP *3.0 *3.1 *3.2

ASSESSOR NAME: SIGNATURE: DATE:

ONLY CONTINUE IF NOT ELIGIBLE FOR LEVEL SOUGHT

ADDITIONAL INFORMATION REQUESTED ON:

ADDITIONAL INFORMATION SUPPLIED ON:

ELIGIBILITY AFTER SECOND ASSESSMENT: *3.0 *3.1 *3.2


*DELETE AS REQUIRED

REASON FOR NON ELIGIBILTY FOR LEVEL SOUGHT:


QUALIFICATIONS HELD:
COPIES OF ALL ENGINEERING RELATED CERTIFICATES MUST BE PROVIDED

SUBJECT AND NAME/LOCATION LEVEL DATE VALID COURSE FULL OR


OF EXAMINING BODY AND VENUE COMPLETED UNTIL DURATION PART TIME

Radiographic Testing (included safety in II 3 Sep 2007 2 Sep 2008 80 hours Full Time
radiographic work) /
Thai Nondestructive Testing PCL.(Bangkok)
Liquid Penetrant Testing / II 10 May 2007 9 May 2010 24 hours Full Time
Thai Nondestructive Testing PCL.(Bangkok)
Magnetic Particle Testing / II 23 Apr 2007 22 Apr 2010 24 hours Full Time
Thai Nondestructive Testing PCL.(Bangkok)

COURSES ATTENDED
ANY NOT REFERENCED ABOVE

SUBJECT/COURSE TITLE COURSE DATE AND END OF COURSE


CONDUCTED BY DURATION ASSESMENT
PASS/FAIL/NONE
Operating Eddy Current (MS 5800/Tube Olympus Canada Feb 2007 None
Inspection) 24 hours
Confine Space Safety NPC Safety and Environmental Oct 2006 Pass
Service Co., Ltd. 21 hours
Leader ship Thai Nondestructive Testing Aug 2006 None
PCL. 8 hours
Radiographic Testing Level II(Observer) Thai Nondestructive Testing Feb 2006 None
PCL. 80 hours

WHAT PRACTICAL WELDING EXPERIENCE DO YOU HAVE?


IF "CODED" PLEASE GIVE DETAILS OF THESE (INCLUDING DATES HELD).

WHAT NDT EXPERIENCE DO YOU HAVE?


IF YOU HOLD ANY CERTIFICATES YOU MUST INCLUDE COPIES
VT, RT, MPI, PT, ET(Tube Inspection), UTM & Welding Inspection Pipeline using Crawler X-ray, UT & MPI
EMPLOYEMENT DETAILS:

JOB TITLE FROM - TO SPECIFIC DUTIES UNDERTAKEN VERIFIED BY


(POSITION HELD) (YEAR&MONTH)
Inspector Engineer Feb 2006-Present Arrange, Supervise, Review Document/Report
Peter David King
& Technical Support to Supervisor, Inspector
Operations Manager
& NDT Technician for VT, RT, UT, MPI, PT,
038 607567-8 Ext 16
ET, RVI, Hardness Testing, Ferrite Testing,
089 8114660
Welding Engineering Service( WPS, PQR),
267/157-158
Welder Qualification and Certification.
Sukhumvit Rd.,
T. Mabtaphut
MOST RECENT EMPLOYER TO ENDORSE A. Maung
BY SIGNATURE AND COMPANY RAYONG 21150
STAMP. peterndt2000@
MUST PROVIDE AT LEAST 3 YEARS yahoo.com
VERIFIED EMPLOYMENT.
All OTHERS WHERE POSSIBLE MUST INCLUDE:
NAME & POSITION
PHONE NUMBER
ADDRESS
E-MAIL ADDRESS
EMPLOYEMENT DETAILS CONTINUED:

JOB TITLE FROM - TO SPECIFIC DUTIES UNDERTAKEN VERIFIED BY


(POSITION HELD) (YEAR&MONTH) MOST RECENT EMPLOYER TO ENDORSE MUST INCLUDE:
BY SIGNATURE AND COMPANY NAME & POSITION
STAMP. All OTHERS WHERE POSSIBLE PHONE NUMBER
ADDRESS
E-MAIL ADDRESS

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