Application Applicatio n Form for CSWIP Five Year Year Renewal Renewal (Overseas) 1. CERIFICAE !O"#ERS #EAI"S $am %E!&" 'AWA!AR ORA e !ose*+ !ose*+il,in il,in- name or /02 A!%E# A+#&""A +"#3 nmer Street*Roa, Street Street $o /42 A" A$#A" A$#A"&S &S S5& S5&ARE ARE22 $EAR $EAR %&'AR %&'ARRA! RA! name PAR6 own*Ci S!AR'A! t7 Postal*8ip 0S!AR'A! co,e Cont &$IE# ARA+ E%IRAES r7 CSW CSWIP certi9 ti9cate :;4;:*/ nmer Contact me<l=vora>:?-mail.com email Cont Contac actt tele telep< p
41:0@:;@ nmer #ate of +irt< 1@*1/*1>;@ /. PAY%E$ #EAI"S
The Fee Fee for processing processing this Renewal Renewal Application Application is B10>.:0 (Pon,s Sterlin-) Please note t
(Please $ote We will not e ale to corier to a,,resses wit< P.O. +oD nmers)
Payment can be made either by Cheque/Demand Draft made payable to WI Certi9cation "t, or by Credit/ Credit/Debit Debit Card Card - gie details details below! below! I%PORA$ "f you are sending this application for reiew by email before posting the original# for the security of your card please do not send any card details by email! $e than% you for your Co-operation Co- operation with this! Car, !ol,ers $ame Car, $mer EDpir7 #ate
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WI Certi9cation "t, +an #etails
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Please ensure that when you are ma%ing a &an% Transfer that you pay all ban% charges# ensuring that T$" Certi'cation (td receies e)actly what is required from you! Please also ensure that the &an% clearly gies* + ,our ame + ,our Certi'cate umber + Date the money was transferred &ARC(A,. &A P(C# 0AR1T P(AC1# .AFFR2 $A(D1# 1..13# C&45 46R# 7"T1D "8D20 SER"I$3 A*C SER"I$3 A*C SWIF CO#E CO#E
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0>1>@> I+A$ CO#E 3+ +ARC /04@ 0:0 >1> @> +ARC 3+// /04@0:
CSWIP*:YR*/01
PAY%E$ +Y CO%PA$Y "f Payment is being made by a Company Cheque or Credit Card then please proide full company details including contact name and company email address with your application! Compan7 $ame Contact $ame A,,ress
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C!EC6"IS FOR APP"ICAIO$ All of t
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Can,i,ates #etails %et
Cre,it Car, #etails Provi,e, Cop7 of +an ransfer an, state ,ate transfer was sent
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Recor, of EDperience (3ive ,etails for 7or crrent or YES most recent emplo7er) One Crrent Passport Sie P
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R11$A( 2F C.$"P C1RT"F"CAT1. 87"DAC1 2T1. 2 C20P(1T"8 T61 (28 .611T "n order to qualify for renewal# you will need to demonstrate that you hae carried out satisfactory wor% actiity with reasonable continuity during the preious 'e years! 9Reasonable continuity: means that an absence of change or actiity ;preenting you from practising the duties corresponding to your certi'cate< for one or seeral periods during the alidity of the certi'cate does not e)ceed a total of one year! Certi'cate holders not able to satisfy the continuity rules will be treated as initial candidates! For more information an, -i,ance on completin- t
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E%P"OY%E$ "O3 S!EE J(Please complete a lo- s
CA$#I#AEKS $A%E
%E!&" 'AWA!AR ORA
#AE OF +IR! 1@*1/*1>;@ Compan7 name L a,,ress "A%PRE"" E$ER3Y "#2 !A%RIYA! FREE 8O$E2 S!AR'A! #ates of emplo7ment or contract From 10*11*/00;
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Position
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eri9ers Compan7 E%ail a,,ress eri9ers Compan7 telep
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CSWIP*:YR*/01
@. CO$I$&I$3 PROFESSIO$A" #EE"OP%E$ (CP#)
C.$"P "nspectors are required to %eep themseles up-to-date with technical deelopments in their 'eld within the "ndustry! Continuing Professional Deelopment is required for your C.$"P Renewal! A minimum of => hours of CPD per year mst be shown! Professional deelopment may be achieed in any of the following ways# depending on your personal circumstances# learning style and opportunities aailable to you! Priate .tudy* .uch as distance learning# 2pen 7niersity# $riting papers# Reading# Research on the internet/?ournals etc! .hort Courses* Attendance at short courses# seminars and presentations Attending Conferences# symposia and e)hibitions Additional .tudy* (earning foreign languages# new computer s%ills etc! $@./Professional 0embership 0eeting ;non-social<* Attendance at branch or technical meetings/webinars Further 1ducation .tudies "mparting %nowledge* 0a%ing presentations# preparation of papers accepted for conferences/publications# coaching/teaching/lecturing
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Please indicate how you hae %ept up-to-date with deelopments in welding technology oer the last 'e years! 4< B< =< < >< <
Attended "n house trainings for $elding and Fabrication dos and donts! Attended "n house training of uality "nterface Programme! Attended "n house training for Certi'ed RTF" leel ""! Achieed (ead Auditor Certi'cation for ".2 E554*B54>! Appeared for & 8as painting inspector (eel ""! "noled in day to day inspection acties which inoles reading drawing# $P.# A&. Rules etc!
Please $ote "f a professional member you hae the option to use the online CPD system www!twiprofessional!com
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CSWIP*:YR*/01
:. Recor, of EDperience I$SPECIO$ EGPERIE$CE isal*Wel,in-*Senior*Plant Inspectors L Wel,in- 5alit7 Control Co Or,inators
This section should record the principal features of your ?ob and show your speci'c inspection responsibilities as indicated below! ;To be completed by the listed certi'cate holder only< Principal Products/Actiities - Fabrication and $elding actiities of 2il Drilling rig! 0aterials "noled - A&. grades A#&#D#A6=#16=#D6=#D"(("0A3 E5# 1>4# 1G5# A=#.BG>@R#.=>> 1TC! $elding Processes 7sed - .0A$# FCA$# 8TA$ H .A$ Codes and .tandards "noled I A&. R7(1.# A.T0 &=4!=# A$D D 4!4!
$# EGPERIE$CE For $# Personnel Onl7
This section should record the principal features of your ?ob and show your speci'c DT responsibilities as indicated below! ;To be completed by DT Certi'cate holders only< Principal Products/Actiities I R1J"1$ 2F DT R1P2RT. 0aterials "noled I C. 8RAD1. DT Techniques 7sed I 7T# 0P"# DP H RT Codes and .tandards "noled I A$. D4!4# A.01 .1C ># A.01 & =4!= H A.01 .1C >
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T$" C( 1ye Test form ame of indiidual tested Date 2f &irth Address
R1.7(T 2F 1AR J".7A( AC7"T, T1.T
Please record the smallest te)t capable of being read by the aboe named on a standard reading test chart at a distance of no less than =5cm using Times Roman or @aeger Te)t! 7ncorrected Corrected ;$ith the use of 8lasses< Times Roman Point .iKe* 2r @aeger Point .iKe* @LLLLLL
Times Roman Point .iKe* LLLLLLLLL 2r @aeger Point .iKe* @LLLLL
ote for tester* For this persons occupation he/she must be able to read Times Roman Point !> or @aeger Point @4! Please record the results of the near ision eyesight test aboe left# but if he/she cannot meet this standard with eyes uncorrected please test the ision again using his/her glasses and record the results aboe right! D1TA"(. 2F P1R.2 P1RF2R0"8 T61 A&2J1 T1.T*
Date of Test*
Print ame of Person who Performed the aboe Test*
.ignature of Tester*
1mail address of tester*
Profession please tic%* 2ptometrist 0edical Doctor Registered urse Certi'ed to ".2 EG4B (eel = 2ther ;please specify<
1mboss oMcial stamp here -
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