TRA05/EX07 Doc 1
Event enrolment form
Rev 8 – Page 1 of 3
ACCOMMODATION (Abington only)
PLEASE SEND A PHOTOCOPY WITH YOUR PAYMENT AND THE I would like dinner, bed and breakfast on site at the published price
NECESSARY ENCLOSURES TO:
for the nights of:
TWI Training & Examination Services
Customer Services TWI North
Granta Park Aurora Court, Barton Road The day before During event
Great Abington Riverside Other Please specify_________________________________
Cambridge CBI 6AL OR Middlesbrough TS2 1RY Non-smoking only
Tel.: +44 (0)1223 891162 Tel.: +44 (0)1642 210512
Fax. +44 (0)1223 891630 Fax: +44 (0)1642 252218 PLEASE NOTE
E-mail: trainexam@twi.co.uk E-mail: twinorth@twi.co.uk I understand that TWI Ltd and its associated trading companies (and
Course bookings – please complete page 1 companies, organisations, or agents processing data on its behalf) will hold
and use personal data supplied by me for administration purposes. These
Course and Exam packages – please complete pages 1-3 purposes have been notified under the Data Protection Act 1998. The data
Exam bookings – please complete pages 1-3 may also be used to send separate unsolicited mailings containing details of
PLEASE USE CAPITAL LETTERS THROUGHOUT events, new services, products etc.
Event ref ______________ Event date __________________________ 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
Event title _________________________________________________ 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 CB1 6AL,
Delegate’s first name (s) UK.
I agree to read the Health & Safety and Security information provided by
__________________________________________________________ TWI and to abide by the guidance given.
Delegate’s surname 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.
Date of birth (dd/mm/yy)______________________________________
Permanent private address SIGNATURE:
__________________________________________________________
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
___________________________ postcode_______________________ course details as required.
Private tel no_______________________________________________ METHODS OF PAYMENT
Full payment and/or Company Order no. must accompany this booking form.
E-mail_____________________________________________________ Bookings received without payment/order number will be treated as provisional
Correspondence address (if different from above) which does not guarantee a place.
__________________________________________________________ Cheque Bank Draft BACS
made payable to TWI Ltd. Barclays Bank PLC, Market Place,
__________________________________________________________ Saffron Walden, Essex CB10 1HR Sort Code: 20-74-05.
Account No: 60919349. Swift address: BARC GB 22
__________________________________________________________
OR Credit Card/Debit Card
Invoice/Sponsor address (if different from Employer address)
__________________________________________________________
__________________________________________________________ Three digit security code_____________________________________________
Expiry date_______________________________________________________
Employer name and address
Name (as it appears on card)
__________________________________________________________
________________________________________________________________
__________________________________________________________ House number and postcode of cardholder:
__________________________________________________________ ________________________________________________________________
___________________________ postcode_______________________ Signature_________________________________________________________
Contact name_______________________________________________ OR Company order no________________________________
Approving Manager’s name__________________________________________
Telephone__________________________________________________
Title________________________________________________
Fax_______________________________________________________
E-mail_____________________________________________________ SIGNATURE:
Please tick if you are
A member of The Welding & Joining Society FOR OFFICE USE ONLY
An employee of an Industrial Member of TWI
Member of Institute of Mechanical Engineers (for ATC65 course only)
Date _____________ Booking no. ____________
Industry Sectors: (Please tick one only)
Amount paid____________ Invoice no. ____________
Power Generation Automotive Date of exam____________ JI sent ____________
Electronic Oil, Gas & Petrochemical (if expiry has been extended)
Aerospace Construction
Underwater Medical
Equipment, Consumables & Other, please specify
Materials
TRA05/EX07
TRA05/EX07Doc Doc11
Rev
Rev82––Page
Page22ofof33
1. Examination Type
7. Weld Inspection
Initial 4yr (plastics only) 5yr 10yr
Supplementary Retest Bridging Endorsement Visual Welding Inspector Welding Inspector
Senior Welding Inspector AWS/CSWIP
BGAS/PCN No. (if known)_________________________________________ CSWIP/CSWIP-BGAS
Code/standard chosen for examination (in full)
CSWIP qualification (if held): (for CSWIP Welding Inspectors only)
Current qualification______________________________________________ (include CSWIP Approval letter for 10 year exam)
Current Certificate No._____________________________________________
8. Underwater inspection
2. Examination Subject 3.1U 3.2U 3.3U 3.4U
NDT go to Q3 Plastics welding go to Q9 Concrete OGI A-Scan
Welding Insp. go to Q7 Plant Inspector go to Q10 Please contact Customer Services for the relevant EX07 document
Underwater go to Q8 IIW/EWF diploma go to Q11
BGAS-CSWIP go to Q12 Other go to Q12
9. Plastics
Country of Birth ____________________________________
3. NDT (tick one in a,b,c and d)
Please state options required
a) PCN CSWIP ACCP ________________________________________________________
Other (please specify)______________________________________ ________________________________________________________
________________________________________________________
b) General Aerospace Axles
Please contact Customer Services for the relevant EX07 document
Weld Wrought Rails
c) Magnetic Penetrant
Ultrasonic go to Q4 Radiography go to Q5
Eddy current go to Q6 ACFM 10. Plant Inspector
EMA Visual & Optical testing
Level 1 Level 2 Level 3
d) Level 1 Level 2 Level 3
For levels 2 & 3:
Basic Endorsement (please state) ………………………….
4. Ultrasonic
Welds
Plate Pipe Tee
11. EWF Diploma
Nozzle Node Critical sizing
Specialist Technologist Engineer
Automated Automated Interpreter
Part 1 Part 2 Part 3 Part 4
Aerospace Retest Oral
Material & Components
Material, Components & Structures
12. BGAS-CSWIP and other examinations
Please give details
5. Radiography
WeldsAerospace ________________________________________________________
X-ray light metal Material & Components
X-ray dense metal Material, Comp & Structures ________________________________________________________
Gamma-ray dense metal Welds light
Welds dense ________________________________________________________
Radiographic Interpretation
Ferrous Stainless Aluminium Copper & alloys ________________________________________________________
Basic Radiation Safety Radiation Protection Supervisor ________________________________________________________
________________________________________________________
6. Eddy current ________________________________________________________
General Aerospace
Wrought Material & Components
Tubular Material, Comp & Structures
ESSENTIAL DOCUMENTATION FOR
EXAMINATIONS
TRA05/EX07 Doc 1
Please tick each applicable box and sign the declaration on the top Rev 8 – Page 3 of 3
right of this page.
Please note that your application cannot be processed without the
I have read and understood the documentation issued by the scheme
following data: 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
General documentation required from everyone accept responsibility for any examination fees in the event of non-payment by
1. Payment or company order no. the sponsor. I agree to abide by the requirements for certification as relevant to
2. Training record (except BGAS-CSWIP) the examination for which I am applying. In particular I agree to comply, if
3. Two passport photos* with your name clearly applicable, with the CSWIP rules on use and misuse of certificates and on
printed on the back (please do not staple to form) professional conduct (see www.cswip.com).
4. Vision certificate* (except Plastics)
5. EX07 doucment I understand that any appeal against an exam result must be received within six
(Plastic Welder and Underwater Inspector only) months of the exam date.
6. Medical Certificate (Underwater Inspector only)
to be produced on the day of the exam I have read the listing and include all the requested information.
I understand that any false statement may result in the examination
* services provided on request at Abington and Middlesbrough being invalidated.
Additional documentation for recertification and retest
SIGNATURE:
7. Copy of previous examination results notice
8. Deferral letter from scheme management Date: __________________________________________________
(if expiry has been extended)
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:
Abington Middlesbrough Sheffield
Port Talbot Aberdeen Paisley
ESSENTIAL INFORMATION FOR ALL EXAMINATION CANDIDATES (EXCEPT BGAS-CSWIP)
If recertification or supplementary please list the relevant Qualifications and Certificates already held and append copies of relevant
certificates. ORIGINALS MUST BE PRODUCED ON THE DAY OF THE EXAM.
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
Pre-certification training
If you have attended relevant approved training courses in the past five years, please list below and attach evidence with any additional on-
the-job training (if appropriate)
Course title_____________________________________________________________________
Dates__________________________________________________________________________
Provider_______________________________________________________________________
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:
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
To the best of my belief, the candidates statement given above is correct at the time of signing.
Verifying signature (employer or equivalent):
Name (in capitals): _________________________________________________________________________________________
Company: _________________________________________________________________________________________
Position: _________________________________________________________________________________________
Qualifications: _________________________________________________________________________________________
Telephone no.: _________________________________________________________________________________________
Date: ________________________________________________________________________________