Examination Enrolment Form

Examination Enrolment
Form
ESSENTIAL DOCUMENTATION
PLEASE TICK EACH APPLICABLE BOX AND SIGN THE
DECLARATION AT THE BOTTOM OF THIS SECTION
Please note that your application cannot be processed
without the following data:
General documentation required from everyone
1.
Payment or company order no
2.
Training records (except BGAS-CSWIP)
3.
Two passport photos with your name clearly printed
on the back (please do not staple to form)
4.
Vision certificate (except underwater inspectors)
5.
Procedure specification
(Plastic Welder and GRP Bonder only)
6.
Medical Certificate (Underwater Inspector only) to be
produced on the day of exam

Additional documentation for Recertification and test

TWI Training & Certification (S.E.Asia)

Sdn.BhdNo.8, Jalan TSB 10, Sg. Buloh Industrial Park, 47000 sg
. Buloh,Selangor Darul Ehsan, Malaysia
Tel: (603) 61573526/8 Fax: (603) 61572378
E-mail: shaiprem@twisea.com / twisea@tm.net.my
For official use only
Candidate No:. Test No:.....
Fee:Date of Test:..

Sponsor
Company name: .
Contact name: ....
Address:...
..
Tel No . Email address ...
Invoice address (if different):....
...
Payment Method

7. Copy of previous examination results notice

Examination fee: Accommodation charge..

8. Deferral letter from scheme management

Other costs:..

(if expiry has been extended)

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 meet the appropriate
requirements.
I accept responsibility for any examination fees in the event of
non-payment by sponsor.
I understand that any appeal against an exam result must be
received within six months of the exam date.
I have read the listings and include all the requested
information.
I understand that any false statement may result in the
examination being invalidated.
SIGNATURE: .

Total charge:...
(any variance according to published scales will be settled on demand).

We wish to pay by:

Credit card No

Expiry date: .
Name as it appears on card:..
Signature:
Or
Bank draft

BACS

Cheque enclosed

Personal details (please print)

Cheque/Bank draft made payable to:

Name (in full):..

TWI Training & Certification (S.E.Asia) Sdn. Bhd.

Permanent address:...

Or
Company Order No.

Name of Responsible Officer .

Date of birth:.

Paying fee (please print)

Tel No:.

SIGNATURE: .

Fax No:...
E-mail address:..
Address for correspondence (if different from above):

PLEASE READ CAREFULLY

In the event of your cancellation, the fee will be returned less a
cancellation charge of 20%. If less than 14 days notice is given by you
TWI-SEA reserves the right to retain the whole fee.

1. Examination type

I would prefer an examination in the week commencing

.
(we will do our best to meet your requirements, but reserve the right to offer alternatives)

retest

5yr

10yr

Supplementary

bridging

4yr (plastics)

Endorsement
BGAS/PCN No (if known)....

Venue
Kuala Lumpur

Initial

Others

Please specify: ...

CSWIP qualification (if held)...

Current qualification ....
Current certificate No ..

Examination Enrolment Form continued

2. Examination subject

10. Plant Inspector

NDT

go to Q3

Plastic welding

go to Q9

Level 1

Welding Insp.

go to Q7

Plant Inspector

go to Q10

For Levels 2 & 3

Underwater

go to Q8

IIW/EWF diploma

go to Q11

BGAS-CSWIP

go to Q12

Other

go to Q12

Basic

Level 2

Level 3

Endorsement (please state) .

11. EWF Diploma

3. NDT
a) PCN

CSWIP

Other

ACCP

Please Specify.

Specialist

Technologist

Engineer

Part 1

Part 2

Part 3

Part 4

12. BGAS-CSWIP and other examinations

b) General
Weld

Aerospace

Axles

Wrought

Rails

c) Magnetic

Penetrant

Ultrasonic

go to Q4

Eddy current

go to Q6. ACFM

EMA

Radiography

go to Q5.

Visual & optical testing

d) Leve1

Level 2

Level 3

Essential information for all examination candidates

(except BGAS/CSWIP)
If rectification 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.

4. Ultrasonic
Welds
Plate

Pipe

Thickness

Nozzle

Node

Critical sizing

Automated

Tee

..
.

Automated Interpreter

Pre-certification training

Aerospace
Material & Components

If you have attended relevant approved training courses in the past

five years, please list below and attach evidence with any additional onthe-job training (if appropriate)

Material, Components & Structures

Course title .

5. Radiography

Dates

Welds

Aerospace

Provider .

X-ray light metal

Material & Components

Pre-certification experience

X-ray dense metal

Material, comp & structure

Gamma-ray dense metal

Welds light

General

Aerospace

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.

Wrought

Material & Components

Tubular

Material, comp & structure

Welds dense

6. Eddy Current

7. Weld Inspection

Visual Welding Inspector

Welding Inspector

Senior Welding Inspector

AWS-CSWIP Bridging

Code/Standard chosen for examination (in full)

To the best of my belief, the candidates statements given above is

correct at the time of signing.

CSWIP Welding Inspector only:.

Verifying signature (employer or equivalent)

(include CSWIP approval letter for 10 years exam)

8. Underwater Inspection
3.1 U
OGI

3.2 U

3.3 U

3.4 U

Concrete

A-Scan

Name (in capitals):

9. Plastics

Company: ..

PVC 1.1

PP 2.1

PE 3.1

PVC 1.2

PP 2.2

PE 3.3

PVDF 4.1

Qualifications:

PP 2.4

PE 3.4

PVDF 4.4

Telephone No: ..

PP 2.6

PE 3.6
PE 3.9

Position: .

Date: ..