TWI India CSA No 6250011 TRA05/EX07 Doc 1 Rev 16 - Page 1 of 4
TWI Enrolment form
PLEASE SEND APPLICATION WITH YOUR PAYMENT AND THE
NECESSARY ENCLOSURES TO: Please tick if you are
A member of The Welding & Joining Society
TWI Training & Certification (India) Private Limited. An employee of an Industrial Member of TWI
78, Chamiers Road
Nadanam, Do you have a disability or any special needs relevant to this
course or examination? Yes No
Chennai-600018
Tamilnadu, India. If yes, please provide details of any adjustments you may
Ph: 044-43189691/2/3/4 require.
E-mail: enquiries@twiindia.com Please tick:
Website: www.twiinida.com Self - Sponsored Company Sponsored
PLEASE USE CAPITAL LETTERS THROUGHOUT
Personal Information:
TWI Candidate ID Number: 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
(If taken other examinations with TWI)
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
Course ref ____________ Course date _______________________ registration or illness of lecturers. TWI will ensure maximum possible
Course title _______________________________________________ notice is given to the attendees and reserves the right to substitute lecturers
and modify the course details as required.
Name of the Candidate (as required on the certificate)
METHODS OF PAYMENT
Full payment and/or Company Order no. must accompany this booking form.
Bookings received without payment/order number will be treated as provisional
which does not guarantee a place.
Beneficiary name: TWI Training & Certification (India) Private Ltd
Date of birth (dd/mm/yy) ____________________________________
Permanent private address Beneficiary a/c no: 041-486002-001
________________________________________________________ Beneficiary Bank name & Address: HSBC, Dr. Radhakrishnan Salai,
________________________________________________________
Mylapore, Chennai-600 004
________________________________________________________
SWIFT code: HSBCINBBMDR
________________________________________________________
IFSC Code: HSBC0600002
Postcode_________________ State
Private tel no _______________ _______________________________________________________________
E-mail ___________________________________________________ Approving Managers name _________________________________________
Correspondence address (address to which certificates/ Notice of result Title _______________________________________________
should be sent, if different from above)
________________________________________________________ SPONSORS SIGNATURE:
________________________________________________________
Date: _________________________________________________
________________________________________________________
I would prefer an examination in week commencing
________________________________________________________
Invoice Address (if different from below)
(we will do our best to meet your requirements, but reserve the right to
________________________________________________________ offer alternatives)
________________________________________________________ Venue:
________________________________________________________ India Srilanka Nepal
Sponsoring Company and Address Bangladesh Bhutan
________________________________________________________
Where did you hear about TWI Ltd?
________________________________________________________
TWI Training website TWI Training newsletter
_________________________ Postcode _____________________
Bulletin / Connect NDT Cabin
Contact name _____________________________________________ BINDT Publications Other
Fax _____________________________________________________
E-mail ___________________________________________________
Telephone ________________________________________________ Internal Use Only
Booking Ref: ________________
TRA05/EX07 Doc 1 Rev 16 - Page 2 of 4
Examination Applied For (to be completed in full by all applicants)
Examination Type: Initial, supplementary, renewal,
bridging or retest of a previously failed examination
Examination Body: CSWIP, PCN, AWS, ASNT, BGAS
PCN or BGAS Approval Number:
Current CSWIP qualifications held:
NDT Method (please circle) MT PT RT ET RI UT VT BRS
RPS LRUT PAUT AUT ACFM TOFD
Industry Sector: Aerospace, Welds, Wrought, Railway,
General
Categories:
Level 1 Level 2 Level 3.2.1 Level 3.2.2 CSWIP/AWS
Welding Inspection (please circle)
AWS/CSWIP Supervisor Instructor Endorsement
Plant Inspection Level 1 Level 2 Level 3 Endorsement
Offshore Visual Inspector OVI Level 2
Underwater Inspection: (please circle)
Please contact TWI for the relevant EX07 document 3.1U 3.2U 3.3U 3.4U ASCAN Concrete
Plastics:
Please contact TWI for the relevant EX07 document
To be completed by all applicants applying to attend CSWIP Welding Inspection Examinations -
I confirm that I have read and comply with the pre examination entry requirements as laid down in the CSWIP Requirement Documents -
DOCUMENT No. CSWIP-WI-6-92, 10th Edition January 2011 and understand that any fraudulent claim may result in the 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
employer/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 2 years with job responsibilities in the areas listed in 1.2.1 and 1.2.2.
Welding Instructor or Welding Foreman/Supervisor for a minimum of 5 years.
TRA05/EX07 Doc 1 Rev 16 - Page 3 of 4
Senior Welding Inspector (Level 3)
Certified Welding Inspector (Level 2) for a minimum of 2 years with job responsibilities in the areas listed in 1.2.1, 1.2.2 and 1.2.3.
5 years' authenticated experience related to the duties and responsibilities listed in Clause 1.2.3,
independently verified.
Welding QC Co-ordinator
A current valid CSWIP 3.2 Senior Welding Inspector certification plus three years documented experience related to the duties and
responsibilities or an international equivalent.
A current valid CSWIP 3.1 Welding Inspector with 10 years documented experience related to the duties and responsibilities or an
international equivalent.
NDT 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:
Verifier
Name (in capitals): __________________________________________
Company: __________________________________________
Position: __________________________________________
Telephone no.: __________________________________________
Email Address: __________________________________________
Authenticated Company Stamp
Date: __________________________________________
To be completed by all applicants applying to attend CSWIP Plant Inspection Examinations -
I confirm that I have read and comply with the pre examination entry requirements as laid down in Section 3 of the CSWIP
Requirement Documents - DOCUMENT No. CSWIP-11-01 and understand that any fraudulent claim may result in the 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
employer/third party -
Plant Inspection (Level 1)
I hold current approved NDT Level 2 (ACCP, CSWIP or PCN) in two methods
(BGAS Painting Inspector and CSWIP 3.1 Welding Inspection qualifications are acceptable as methods)
I hold CSWIP 3.1 Welding Inspector or higher
I hold an ONC in Mechanical Engineering or equivalent
TRA05/EX07 Doc 1 Rev 16 - Page 4 of 4
I have a minimum of Five years, assessed and authenticated industry experience in this field (Mature Entry Route), a verified CV
can be supplied Must be Authenticated by Line Manager
Plant Inspection (Level 2)
I hold a valid Level 1 Plant Inspection approval
I have successfully completed the Level 1 exams as a pre entry requirement
To the best of my belief, the candidates statement given above is correct at the time of signing
Verifying signature (employer or equivalent):
CANDIDATE - PLEASE NOTE
I understand that TWI Ltd and its associated trading companies (and companies, organisations, or agents processing data on its behalf) will hold and use
personal data supplied by me for administration purposes. These purposes have been notified under the Data Protection Act 199 8. The data may also be
used to send separate unsolicited mailings containing details of events, new services, products etc.
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 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 CB21 6AL, UK.
I agree to read the Health & Safety and Security information provided by TWI and to abide by the guidance given.
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.
I have read and understood the documentation issued by the scheme 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 accept responsibility for any examination fees in the event of non-payment by the
sponsor. I agree to abide by the requirements for certification as relevant to the examination for which I am applying. In particular I agree to comply, if
applicable, with the CSWIP rules on use and misuse of certificates and on professional conduct (see www.cswip.com).
I understand that any appeal against an exam result must be received within six months of the exam date.
I have read the listing and include all the requested information.
I understand that any false statement may result in the examination being invalidated.
CANDIDATE SIGNATURE:
