Do not Write any thing in this box.

Write Your Birth Date only According to Gregorian Calendar

Please mark here if you are Self- Sponsored Please mark here if you are Company Sponsored

Do not write any thing here

Sign Here

You don’t need to write in these sections

Please write your Address with Postal code, call number, cell phone number and email address.

Please write another address here. If you haven’t another address please write: As Above.

Cautation : If you are sponsered by a Company you should fill this section

Who is incharge in your registration or your payment, write his/her information in this section. If you are self- Sponcered only write : S.E or Self- Sponcered

Write Your Company Address Here

Please write beginning Date of your course according to Gregorian Calendar

Choose your course venue

Please Use Only Capital Letters for Writing Your First and Last Name. Please write your name according to its spelling in your passport.

If you are a WJS member or you are an employee of an Industrial member of TWI please tick here

If you have a disability please Mark here.

For BGAS CSWIP G.3/2 ATC88 ATC89 For BGAS CSWIP G.1

For BGAS CSWIP Site Coating ATC90 For CSWIP Cathodic Protection ATC37

L.I PL1 Inspection For CSWIP Plant

Paint 3/2 BGAS CSWIP Painting Inspection G. 3/2 Paint G.1 BGAS CSWIP Painting Inspection G. 1 CP Cathodic Protection Level I,II&III Coating BGAS CSWIP Site Coatings Inspector PLANT CSWIP Plant Inspection L.I

If it is the first time that you take this exam write Initial. If you are retested please write retest

Please write only BGAS here

If you have any BGAS or CSWIP certificate Please write your BGAS or CSWIP number here

If you have any NDT certificate please cercle name of it and attach a copy of your certificate(s) to this form.

Write information of your company activity here

If you have any certificate about under water Inspection, Plant Inspection or plastic welding please circle its name and attach a copy of your certificate(s) to this form.

You don’t need to write in these sections

This page is for NDT and Welding Inspection courses. Don’t write any thing here

 

Your Signature

This part is for Plant Inspection course. Don’t write any thing here