Please mark here if you are Self- Sponsored

Please mark here if you are Company Sponsored

Please write beginning Date of your course according to Gregorian Calendar Do not Write any thing in this box.

For BGAS CSWIP G.3/2 For BGAS CSWIP G.1 For BGAS CSWIP Site Coating For CSWIP Cathodic Protection For CSWIP Plant Inspection L.I Paint 3/2 Paint G.1 CP Coating PLANT

ATC88 ATC89 ATC90 ATC37 PL1

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

Please Use Only Capital Letters for Writing Your First and Last Name. Please write your name according to its spelling in your passport. Write Your Birth Date only According to Gregorian Calendar

You dont 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 havent another address please write: As Above.

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

Write Your Company Address Here

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

Choose your course venue

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.

Do not write any thing here

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

Write information of your company activity 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.

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 dont need to write in these sections

This page is for NDT and Welding Inspection courses. Dont write any thing here

ThispartisforPlantInspectioncourse.Dont writeanythinghere

YourSignature