APPLICATION For PWS Welding Inspector Examination 1. Be suo READ throughy BEFORE fling out 5 fer _specaly the secton on how fo fila Please PRINT or TYPE 2, GHECK THE EXAMINATION LEVEL YOU DESIRE i comaereeente 1 cones associat Wetting mspector (CAN) C7 c cenoose one othe towing forthe CODE BOOK ts: Cl eraws ors [Bream Coesasme x . Slo [e}\falwlo vie|a init je | [Hi Aj] |e |e R elule[sfel [el Telelelefe] Jef] feleHT [MT It lale [ules {ele bolelela Te] [leh k Is elaly [i [re 4le a SATE a coum NAME & COMPANY ADDRESS JGIe) [eel ielifele le ale ls | [rele AILIAIBIAINIG we is[r[elotefufela — [olal- [3 Tafa lo [5 bi-4 [1 Je]ZJo]s|/]als] SOGAL SECURITY SYSTEM SKI DATE NoeyovaienapeosCviean — [] YES Hye. prdle hein a : sounce.cope cet Type of Busnes ‘ype of Gasstcnon "oor Tectia res (Check ONE on) (Check ONE ony rotncorestanantomertaiie) + cmnascmman 1+ reset en gt A+ roma ‘ comet tp 2 Ey se ar peat ©. tmmecmn 7 © Ly recente om © = Netoncensionn B © Ly remnants +S reo ower 3 © ree poe $l eee e+ srt 4 + terete mt © Zoe +: ome P © erst ie nn, en ose uv 1 Ey tami ona crue #1 cent #8. og + | Ey teeta mee 9 wee meme mee = ene n 2 Ey tanta ate 1 neeoave 2+ mmr 13 1 Ey tema tet "lowe 5 + oman cs {oom =O ee en 4 4 i wmesensoct rants 1 pew cntomet nme te ee Coe sey s © cietsneat sien | J cee o. a W + Gil eomeetntncntini som | 6] a Ps retnane 2 © Hy mens coming |] 2+ remnants * comet anise 1D cone n= ome 4 5 Zlom EPS 11 Tones le. oe 45 QUALIFHNG WORK EXPERIENCE NOTE: CLEARLY, CONCISELY, srt ACCURATELY co ABOX OF EMS Ate) 9 e8ch ‘oie iting your present or most recent employe frst, feu stare tan option wih he sane emp et ex oe SEPARATELY * crore 96 Sagan, Jet opin Sy, Gata! Berd /twgy Den seenerenrtet Lament Satria” yam. 159) Fae = com 10 Teme earn {Hazy yews = ao sore Fran ‘ee | 3018 © Tow ype roasitanionn war a (PRO Bion ps PO ome Ponenaateet neorece” femur pleat, Pebooumical, chemice| planks ymfery cn wich er or an en CD eeemire sees ami Jy rn ecient goes rotten [Zi mem sean met tn we en [tm aren cite wee meta pnt etn [EA meee ner enn itn roan (Zh core wien eon nares Zyros er ten, tron pen re wnt Drewes trate wets 1 antapce ope ee © Wtpucntnctyorinesiyassnaan test eninseatstow 20% 2B /day FFabreton Coc Cre he ie) ara eer apetenin) ‘wich gvemed anton Hos: Fe conpancastome secs, ences the ote wich seve eb Fortress, cee Amen East 0 oa 2 oon ost ne . es aS ous ous ost “ > mn en ED GH asi mR ASRS asmuasrt awa oo ecm Mesmscownwe ance rma cee sensnrenowece savers(© EDUCATIONAL BAGKGROUNO [A Crcebelow ehgnet rae yas td sac "onan ng ara oe Qt * Soveetenpemanmy 2 hartgreoes tome momcatenmnan 934 — 3 Coe wae 7 osntgntateen Mase 22 er 2 nosed aretoirg coer (© Ustecuaten ves wanna eppetanz, ar tnow ONY #yarwan ib abhi prem ‘ema tach mpeg eoameriaton (eg, pect rat pn, tree oe) we eons Fon conse Sup Contete wee Ma Ye Ono ©. Sipe ecing eperence neice Part So escarpment mat campy his PLEASE NOTE THE FOLLOWING CONDITIONS: narra my epeaton rt cg tn 2 le eu FRET CHORE tt Inte ies ty appetan bong nine fa LATER TEST DATE ‘You spain int be procter ae Egtymnt Veron shes Inte your fst sacar rr chef an xin om he bk cone 8 nei lenin Pees 8. SPECIAL EXAMINATION: iy, 6 lameteanaain ing ne tet PS Tring Cer uaa PS wi cra maa sangeet a co my apesion sepa My dno tepene nnewre__ OUSSAY 36S | aga campy nh xn utente any bags agar wish mayb nat by PS att tt trtn hve ela nh sein fu ues! tt yale amet wi ty i spn love Ps parma very soma, geo cap wah proven stom he Guest Sane ‘enesng he saminstve cl myeanean ancestor, seetse _(Wipbeey owe_l9/01 (hore _ crontansusceestioene rays OCT 03 200? _sexpe oe DASMARINAS, CAVITE ‘SUBSCRIBED ANP'SWORN to before me this DCTAI AM amancesnibting to me his/her DL: PPW=1C- as competent proof of identity. oe.wa__ 320 5 a ‘No. 3117284; 1/3/22: Dasmac'fas, Carite Page No. uy By Meaber ot No 012972; 9/22/14; Pasig Cy Bera No” m \Cornplence No. V-0011834, 8/17/33; Pasig Cay peatn oe) OLN Gg, Ze, Deorawes, CarteVISUAL ACUITY RECORD ‘The CWI and CAWI are required to pass an eye examination, with or without corrective lenses, { prove (1) near vision acuity on Snellin English, or equivalent at 12 inches: and (2) far vision acuity 20/40, or better. Shall also take a color perception test for red/green and blue/yellow differentiation. This form is to be ‘completed by the eye examiner and is subject to the following conditions: Dh ew ust be an Optometrist a Medical Doctor, a Registered Nurse or a certified Physician's Asistant and aust i or her tite i lo. The date ofthe eve exam mus not be more than 7 months prior tothe date of the welding inspector's risccam, ‘DO NOT ALTER THE PRINTED TEST REQUIREMENTS. DO NOT ADD ANY MEDICAL TERMINOLOGY. CHECK ONLY ONE BOX PER TEST NOTE: _ Visual acuity records which do not comply with the above will not be accepted a = a oe ae —— a. Z ae ee erm ae et —— ‘Er toon titl, MOBIL MAgEA D> _RokrAVIAA administered ane 2am Pred Nan of Eye Exe oNBEME MAHDEL soe CORRE I D022 itn demonstrates ‘he vin cpa indicated above. Check one ofthe following: Lronana Ces one Registered Nurse CA ceriesPrysiians assistant ‘Se cere sean Conmany Name Hess /Ctiney deal Vision Cenmpk Cm waa To. Nos fle YBR 2072 procs Mobile no NT 234 mail adress -ivesndegnafgne or Company Adress: UPPER Gasute ploor Ideal _yuton_Centerem ama ciate highway ob" Ging _Myppra ; — Nepean Te aso Va ae)YMENT VER EMPLOYMENT VERIFICATION — Tobe completed by your supervisor o personel menager of the (MOST RECENT EMPLOYMENT) accounted fer in Pat 3 IMPORTANT! Your apican cannot be proces without completion of this fom, NOTE: Do notuse thi frm youre sf employed, Instead, provide reference lt ftom one of your ents Be eri the fete notaie bef submting with ths application Company Name: SGC Philippines, Ime Dope Divison ualty Cowhral Depts /Energy Division BouSuecine: 2164 Prime free} ciy:_Muntiqlapa - SateProviace Metre Mantle 2ip_13 0 ‘Tel No _ 8876 - G00 Iver tht Verne Yawte! _R. Soriano whoscsocil scunty number is_ OH = 349O56| ~ Pint or Type of Appliant ‘as employe by this company and desi cary out the described principal dates during the employment periods) ‘indicated on this pplication Print or Type yourName RAMON]. DEL ROSARIO DEPT MINAGER 101022. NOTE: Processing your application will be DELAYED if you : 1. Omitted any required documentation/information regarding your education/experience. 2. Neglected to have your signature notarize. 3. Neglected to have your most recent employment verified. 4. Ar OT a PWS member and DID NOT enclose payment, company purchase order, or authorize PWS to charge your credit card.ideal vision CERTIFICATION Date:___Oupber 1 go2@ To whom it may concern: This is to certify that _Me- ie and underwent routine eye exam on _Qbber|, 22% due to (symptoms) Examination done:__VI#T Suerte reproowo hia #6} Diagnosis:__Nypa = —— —— geod _icdoe yan Moyea gitem depen) Recommendation: - ‘SPECTACLE Rx a UVA SPHERE CYLINDER | AXIS ADD PD BCVA oD he par my os | the ford | -oso te | ne | CONTACT LENS Rx SPHERE CYLINDER AXIS, BC DIA ADD / Tint oD os { Lens Type: Amount: ‘This certification sued upon the request of the patient for whatever legal purpose this may serve. Respectfully yours, ‘Dr. Mariel Marea a Optometrist (Ophthalmologist SIGNATURE OVER PRINTED NAME License No. PTR No,Page: of WELDING INSPECTOR QUALIFICATION SHEET NAME OF CANDIDATE: Yecnis_Hanzel R. Soriano Educational Love: Welding Inspector (WH) :| Assoc. Welding Inspector (AWD :{] Experience Leve Welsing Inspector (W) : | Assos, Welding inspector (AW) -[] OVERALL QUALIFIGATION:_CW ‘A. Welding inspection Capabilities Based on Education Level ‘Educational Experiences & Requirements- Assoclate Welding Inspector (AWI) Candidate TILA high school gracuate, or nod a Vocational Degree Equvalency éipoma (2) Have @ minimum of two(3) years experience in an occupational function wil a Gract Felationshp to weldments fabricated to national a interatonal standarcs and rect involvedin ene (¢ more of he areas sted under the Qualifying Expeiance index Educational Experiences & Requirements. Welding Inspector (Wi) Candidate TH Master Degree: Colege Graduate: (7) YES ( ) NO. Course: B.S. im Mechareat Enginst ning Colege Undergrad: ) Course: Highschool graduate (/) YES ( )NO Schock Immaculate Comaption Acadenng 12) Shall have a minimum of ive (5) years experience n an aosupatonal function hat has @ diect relalorship te welded assembles fabreated fo national er tsmaional stardarés ard be rectly involves in one or moro ofthe areas listed under the Qualying Exaerience Indo Ayes {By Atemaives to (1) & (2) above, with supporing cacumentaion (eg, copies of Wanscipi Or leters of reference speciying eae cred hous of vainig) maybe substituted as flows: a) High School Graduate level only. Mare than ( ) years work experienesin any ofthe welding functions as defined under the Qualying Experience index ) Engineering Graduate level. More than ( years work experience in any ofthe wbingluteiens as caved une tne Guaivng Eiperence nde BI} PAC LICENSE NO. (00% B.A} No Ueense ( ©) Trainings may be substiuied fr an equal number of months / years ofthe requied fe years exparence, provided sucies are relevant to any of he functions as defined unger {he Gualiying Experence index. Credits given as talows: Name of Senina's/ Stsies Coverage Date WE Review or ee 2 ONE _Gunce Teining aly G=t0,, 1004 8) BT Fl Inder pre} oon (WT-TC“I) _feph-2g- oe. 2, 2020] cay fete Honalstuetivn Patiy Teining hey. 77-31 2014 "=" NOTE: PLEASE USE CHECK VWARKB. Welding Inspection Capabilities Based on Experience Level 2of3 ( Rrowiedge and Sls wi Candiaate, [iv prepare reports (2) communicate effectively orally and written (3) understand the fundamentals of SWAW, SAW, OAW, RW, GTANE, FCAW, GMAW, PAW, SW, ESW and Thesmal Spraying, Soldering, Mechanical Cutting, Thermal Cutting/ Gouging, Brazing! Braze Welding (@) understand the fundamentals of VF, MT, AET, UT, PT, ET, RT, UT, quay procedures and quality audts/survelance (G] understand the fundamentals of weiing metallurgy [er understand welding symbols and drawings (interpret crawings USS) QS (Banaras 3 Candidate (ii verify base material compliance ([aiverify filler metal complance (3) verify filer metal storage handing compliance (4) verity inspection records compliance di s2 (6) verify base material and filer metal compatbilty (7) certify documented results compliance (8) verity procedure qualification records compllance (io) verify welding procedure compliance (10) verity NDE procedures compllance AINISSIASA IY Procedure Qualification (verify welding equipment appropriateness Candicate K (2) verify edge preparation compliance (GB) verity joint geometry compliance (a) witness procedure qualification (verify welaig procedure qualification compliance (Gh review and approve weiding procecures RRARRA RE: [ey develop welding procedures IIIS) Performance Qualification aw Tanai i) witness weider performance aualficaton {2} verify welder qualification compliance: (3) verity welder qualification records complance. AA [ea request welder performance requalfication alg reduction a 3 Canaiaate [i verify welder qualification apprenriateness [2] verity production welding compliance (3) verity personnel qualifications Safety aw Ww Canaiaate (i) erify safety requirements compliance i ‘uality Assurance a wi Candidate (i) perform audits and suvellancePage: 3 of 3 Frojeet Marsan [we cana Ti even contract eaurenens cae [Lit eview vendo ropes conolnnce ala (fae aw] Canaate [TID develop and provide a training program for the AWI ¥ [adevstep wat repecton training 7 + [Lat verfy implementation of wualispecion aha z Trahation [Wi] Cana (i evaluate As performance aT = Goalijng perience dex Cones ‘andater a sont veriabie SSCS oT BxPEMENEE BT GEEIDATETT function wth a direct lationship to welement fabreated to national or international sanders doe eect aed ne (1) Experience inte development of pans, avis, rcetres, inspection egurements, |» ‘Sccetance enter ad speciation" welamens, {2 Experience in planning, control supervision, and aplication of base metals ana iler | metas nthe preparation bd completion of practionwetoments | (0) Serene in fabrication, construction, and supervision of persone in erection of ‘welded assembites or subassemblies. a (0) Saperiene inthe detection ane measurement of wel continuities by spaication of visual or other nondestructive evaluation processes to a written procedure. A (5) Experence sper of personnel engages n material and wels examination (0) Experience in repair welding, or supervision of personel performing wld reps (7) Boerence inthe reparation of written grocers for welding, nondestructive 4 | eatuation or destructive tests | (e)experence inthe unticaton of wees or welding rocecurestovarius coves, Sasdars ane specteatons | | 1 xperence in weling destn functions, s specie nthe appiabe ode, standard or Speetfeatan | (10) Exerence in operational techniques and actives used to fail quality corral Fequirements for weldments, | Bgerene using a aay stem | (12) Experience in teaching the occupational sil of welding o subjects related to wetcng; |___tetppticaion control, materials, and processes. s