Application Form for CSWIP Ten

Year Assessment (Overseas)

1. CERTIFICATE HOLDERS DETAILS
Nam
e
House/Building name or
number
Street/Road
name
Town/Ci
ty
Postal/Zip
code
Count
ry
CSWIP
certificate
number
Contact
email
Contact
telephone
number
Date of Birth
2. PAYMENT DETAILS
The Fee for processing this Assessment is 78.50. (Pounds Sterling)
Payment can be made either by Cheque/Demand Draft made payable to TWI
Certification or by Credit/Debit Card - give details below. IMPORTANT: If you
are sending this application for review by email before posting the original, for
the security of your card please do not send any card details by email. We thank
you for your Co-operation with this.
Card Holders
Name
Card Number
Expiry Date

Start
Date
The Last 3 Digits of Security code on reverse
of Card
TWI Certification Ltd Bank Details:
Please ensure that when you are making a Bank Transfer that you pay all bank
charges, ensuring that TWI Certification Ltd receives exactly what is required
from you.
Please also ensure that the Bank clearly gives:

Your Name

Your Certificate Number

Date the money was transferred

BARCLAYS BANK PLC, MARKET PLACE, SAFFRON WALDEN, ESSEX, CB10 1HR,
UNITED KINGDOM
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CSWIP/10YR/2015

STERLING
A/C
STERLING
A/C:
SWIFT
CODE:
CODE:

Page 2 of 10

60919349
IBAN CODE GB36 BARC 2074 0560 9193 49
BARC GB22
20-74-05

CSWIP/10YR/2015

PAYMENT BY COMPANY: If Payment is being made by a Company Cheque or

Credit Card then please provide full company details including contact name and
company email address with your application.
Company Name
Contact Name
Address
Telephone
Number
Company Email
CHECKLIST FOR APPLICATION
All of the Items that are listed in the Checklist below must be produced
for your application to be successful. Please tick the Items that you
have enclosed.
Items Enclosed
1
.
2
.

TICK

Candidates Details
Method of Payment

Credit Card Details Provided

Copy of Bank Transfer and
state date transfer was sent
Cheque/demand draft
enclosed. Payable To: TWI
Certification Ltd in Pounds
Sterling

3
.

4
.
5
.
6
.

Log Sheets/ Book (Signed and stamped) by your

employer(s)
In order to successfully re-certify your CSWIP Certificate
it is a requirement that you provide at least 4 out of the
last 5 years verified work experience.
Continuing Professional Development Form
Record of Experience (Give details for your current or
most recent employer)
An original document, giving results of an eyesight test
taken within the last 2 years, confirming that you have
taken a near vision sight test. Your optician must clearly
state that your vision meets one of the following
standards:
Either aided or un-aided you can read Times Roman point
size N4.5 or Jaeger point size J1 at a distance of not less
than 30cms.
For your convenience a form for this is attached.
The CSWIP Certificate that you are applying to re-certify

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CSWIP/10YR/2015

(Photocopies of this certificate are accepted)

When complete please submit your application by post to:

TWI Certification Ltd, Granta Park, Great Abington, Cambridge, CB21
6AL, United Kingdom

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CSWIP/10YR/2015

3. Log sheets/book
RE-CERTIFICATION OF CSWIP CERTIFICATES GUIDANCE NOTES ON COMPLETING
THE LOG SHEETS/BOOK
In order to qualify for re-certification, you will need to demonstrate that you have
carried out satisfactory work activity with reasonable continuity during the
previous five years. Reasonable continuity means that an absence of change
or activity (preventing you from practising the duties corresponding to your
certificate) for one or several periods during the validity of the certificate does
not exceed a total of one year. Certificate holders not able to satisfy the
continuity rules will be treated as initial candidates.
For more information and guidance on completing the CSWIP Log
Sheets then please visit: www.cswip.com

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CSWIP/10YR/2015

EMPLOYMENT LOG SHEET (Please complete a log sheet for each

employment)

CANDIDATES NAME:
DATE OF BIRTH:
Company name & address:
Dates of employment or contract:
From: (DD/MM/YY)

To: (DD/MM/YY)

Position held:
Brief outline of work carried out for this company:

Declaration: I
(Name and position held in above company)

SIGNATURE &
STAMP

Hereby declare that I have knowledge of the above

applicants work activities. That the information given
above is correct and that I am suitably qualified to verify
this information.
Verifiers Professional Relationship to applicant:

Date:

Verifiers Company E-Mail address:

Verifiers Company telephone number:

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CSWIP/10YR/2015

4. CONTINUING PROFESSIONAL DEVELOPMENT (CPD)

CSWIP Inspectors are required to keep themselves up-to-date with technical
developments in their field within the Industry. Continuing Professional
Development is required for your CSWIP Re-Certification. A minimum of 35 hours
of CPD per year must be shown.
Professional development may be achieved in any of the following ways,
depending on your personal circumstances, learning style and opportunities
available to you.

Private Study: Such as distance learning, Open University, Writing papers,

Reading, Research on the internet/journals etc.
Short Courses: Attendance at short courses, seminars and presentations
Attending Conferences, symposia and exhibitions
Additional Study: Learning foreign languages, new computer skills etc.
WJS/Professional Membership
Meeting
(non-social):
Attendance
at
branch
or
technical
meetings/webinars
Further Education Studies
Imparting knowledge: Making presentations, preparation of papers
accepted for conferences/publications, coaching/teaching/lecturing

Please indicate how you have kept up-to-date with developments in welding
technology over the last five years.

Please Note: If a professional member you have the option to use the online
CPD system www.twiprofessional.com

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CSWIP/10YR/2015

5. Record of Experience
INSPECTION EXPERIENCE
Visual/Welding/Senior/Plant Inspectors & Welding Quality Control CoOrdinators
This section should record the principal features of your job and show your
specific inspection responsibilities as indicated below.
(To be completed by the listed certificate holder only)
Principal Products/Activities Materials Involved Welding Processes Used Codes and Standards Involved -

NDT EXPERIENCE
For NDT Personnel Only
This section should record the principal features of your job and show your
specific NDT responsibilities as indicated below.
(To be completed by NDT Certificate holders only)
Principal Products/Activities Materials Involved NDT Techniques Used Codes and Standards Involved -

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CSWIP/10YR/2015

TWI CL Eye Test form

Name of individual
tested
Date Of Birth
Address

RESULT OF NEAR VISUAL ACUITY TEST

Please record the smallest text capable of being read by the above named on a
standard reading test chart at a distance of no less than 30cm using Times
Roman or Jaeger Text.
Uncorrected
Corrected (With the use of Glasses)
Times Roman Point Size: N

Times Roman Point Size: N _________

Or

Or

Jaeger Point Size: J______

Jaeger Point Size: J_____

Note for tester: For this persons occupation he/she must be able to read Times
Roman Point N4.5 or Jaeger Point J1. Please record the results of the near vision
eyesight test above left, but if he/she cannot meet this standard with eyes
uncorrected please test the vision again using his/her glasses and record the
results above right.
DETAILS OF PERSON PERFORMING THE ABOVE TEST:

Date of Test:

Print Name of Person who Performed the

above Test:

Signature of Tester:

Email address of tester:

Profession please tick:

Optometrist
Medical Doctor
Registered Nurse
Certified to ISO 9712 Level 3
Other (please specify)

Emboss official stamp here -

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CSWIP/10YR/2015

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CSWIP/10YR/2015