BETZ ENGINEERING & TECHNOLOGY ZONE
(EDUCATIONAL & RESEARCH DIVISION)
*****REGISTRATION FORM*****
AWS CERTIFIED WELDING INSPECTOR PROGRAM (AWS-CW
Fresh / Re- Exam
Father's Name
:
:
Date of Birth
BETZ Membership Number
Company
Address for Coresspondence
:
:
Mobile/Phone No.
E-mail
Name
Fresh Candidates:
Seminar & Examination
Month
New
Re- Exam Candidates:
Seminar
Examination Venue
Venue
Original Exam Date(DD/MM/YYYY):
Part- A
Part- B
Re Training:
Part- C
Required
Training & Examination Month
Not requir
Training Venue
Please refer the BETZ AWS-CWI Shedule for Seminar & Examination venue detail of 2015. For more detail click here>>>
Payment Detail
Seminar
Examination
Amount
Mode of Payment
Cash
DD
Cash
DD
D.D.No
Bank
Date
Accommodation* :
Required
Not Required
*Accomantation cha
Cancellation Fee :
I. 10% cancellation fee is applicable on the Seminar and Exam fees, if cancelled 4 weeks prior to start of the seminar.
II. 25% cancellation fee is applicable on Seminar & Exam fees, if notice period is shorter than 4 weeks.
Postponement Rules:
I. Candidates are allowed to postpond their appearance if notified before 4 weeks of the start of seminar.
II. 20% additional fees applicable on Seminar & Exam fees, if postponement notice is offered in less than 4-weeks.
Note: Additional fees if any applicable at the time of exam to be paid.
Signature:
For Office use:
Ref : BETZ/AWS-CWI-REG-2015 Rev-00 Page # 1/1
Date :
Registration Approved By:
Course Material Issued:
Date:
Mode of issue:
Ref : BETZ/AWS-CWI-REG-2015 Rev-00 Page # 1/1
Hand
Yes
No
Courier
Date:
S-CWI)
t required
Examination Venue
PHOTO
on charges extra.
Ref : BETZ/AWS-CWI-REG-2015 Rev-00 Page # 1/1
Ref : BETZ/AWS-CWI-REG-2015 Rev-00 Page # 1/1