Application Form for BGAS-CSWIP Ten Year Re-Certification (Overseas)

1. CERTIFICATE HOLDERS DETAILS

Nam MEDEL CAY DE CASTRO

e
House/Building name or MUBARAK ABDULLAH AL SUWAIKET SONS CONT. CO.
number
Street/Road
name
Town/Ci AL KHOBAR 31952
ty
Postal/Zip P.O. Box 4228
code
Count SAUDI ARABIA
ry
CSWIP certificate BG579669
number
Contact medeldecastro@gmail.com
email
Contact telephone +966536807571
number
Date of Birth March 1, 1985

2. FEES-
The Fee for processing this Assessment is 78.50 (Pounds Sterling)

Payment can be made

a) by Cheque/Demand Draft made payable to TWI Ltd

b) by Credit/Debit Card - give details below. IMPORTANT: New legislation does not
allow us to receive any card details by email. If you send this application for
review by email before posting the original, please do NOT enter the
Credit/Debit card details on this form before sending by email attachment -
enter card details just before posting or telephone +44(0)1223 899000 with the
details. We thank you for your co-operation with this. (Please note that any
email received containing credit/debit card details in the body of the email or
on an attachment will be automatically deleted)

Credit/debit Card Holders

Name
Card Number
Expiry Date Start Date
The Last 3 Digits of Security code on reverse of Card

c) by Bank Transfer using TWI Certification Ltd bank account details below -

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

Page 1 of 12 CSWIP/10YR/2017
 BARCLAYS BANK PLC, MARKET PLACE, SAFFRON
Bank name
WALDEN, ESSEX,
and address
CB10 1HR, UNITED KINGDOM
Account
60919349
number
IBAN number GB36 BARC 2074 0560 9193 49
Swift code BARC GB22
Branch Sort
20-74-05
Code

Page 2 of 12 CSWIP/10YR/2017
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 MUBARAK ABDULLAH AL SUWAIKET SONS CONT. CO.

Contact Name
Address P.O. Box 4228, Al Khobar 31952, Saudi Arabia

Telephone +966138146222
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 TICK

1 Candidates Details
.
2 Method of Payment Credit Card Details Provided
.
Copy of Bank Transfer and
state date transfer was sent

Cheque/demand draft
enclosed. Payable To: TWI Ltd
in Pounds Sterling
3 Log Sheets/ Book (Signed and stamped) by your
. employer(s)
In order to successfully re-certify your BGAS-CSWIP
qualification it is a requirement that you provide at least
4 out of the last 5 years verified work experience.
4 Continuing Professional Development Form
.
5 Record of Experience (Give details for your current or
. most recent employer)
6 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 N5 or Jaeger point size J1 at a distance of not less
than 30cms.
For your convenience a form for this is attached.
You must also provide a colour vision test: Ishihara
Method- 24 Plates.
7 The BGAS-CSWIP Certificate that you are applying to re-
. certify
(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

Page 3 of 12 CSWIP/10YR/2017
Page 4 of 12 CSWIP/10YR/2017
3. Log sheets/book

RE-CERTIFICATION OF BGAS-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 BGAS-CSWIP Log Sheets
then please visit: www.cswip.com

Page 5 of 12 CSWIP/10YR/2017
EMPLOYMENT LOG SHEET (Please complete a log sheet for each
employment)
CANDIDATES NAME: MEDEL CAY DE CASTRO

DATE OF BIRTH: MARCH 1, 1985

Company name & address: Faysal M. Qahtani Sons Co.

Dates of employment or contract:

From: (10/06/07) To: (15/06/10)

Position held: QA/QC Coating Inspector

Brief outline of work carried out for this company:

Perform surface preparation, in-process and final inspection of coating and painting
activities that includes verification of blasting materials to be used. Inspection and
testing of coating/painting equipment, visual inspection and verify surface profile of
metal surfaces prior to coating/painting after blasting/cleaning. Conduct visual
inspection of all painting/coating materials to ensure its compliance with the required
project standard and specification.

Declaration: I SIGNATURE &

(Name of verifier and position held in above company) 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:

Page 6 of 12 CSWIP/10YR/2017
EMPLOYMENT LOG SHEET (Please complete a log sheet for each
employment)
CANDIDATES NAME: MEDEL CAY DE CASTRO

DATE OF BIRTH: MARCH 1, 1985

Company name & address: MUBARAK ABDULLAH AL SUWAIKET SONS CONT.

CO.

Dates of employment or contract:

From: 18/01/11 To: PRESENT

Position held: QA/QC COATING INSPECTOR

Brief outline of work carried out for this company:

Perform surface preparation, in-process and final inspection of coating and painting
activities that includes verification of blasting materials to be used. Inspection and
testing of coating/painting equipment, visual inspection and verify surface profile of
metal surfaces prior to coating/painting after blasting/cleaning. Conduct visual
inspection of all painting/coating materials to ensure its compliance with the required
project standard and specification. Preparation and compilation of quality
reports/records and other quality related documents for activity acceptance and final
project handover.

Declaration: I SIGNATURE &

(Name of verifier and position held in above company) 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:

Page 7 of 12 CSWIP/10YR/2017
Page 8 of 12 CSWIP/10YR/2017
4. CONTINUING PROFESSIONAL DEVELOPMENT (CPD)

BGAS-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 BGAS-CSWIP Re-Certification. 35 hours of CPD per year is recommended

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 your field
over the last five years.
Attending conferences and seminars regarding coatings and blasting of
different substrates
Further studies of different paint systems in the gulf areas under different
weather conditions
Research on how coating under insulation performs on such different
temperatures
Keeping myself updated on newly machines and equipment and type of paints
Provide knowledge on coating inspector trainees in our companies.

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

Page 9 of 12 CSWIP/10YR/2017
5. Record of Experience

INSPECTION EXPERIENCE

BGAS Welding Inspector/Senior Welding Inspector/Painting Inspector/Senior

Pipeline Inspector/SCI

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 - Surface preparation and coating application and

inspection on steel substrates

Materials Involved - Steel pipes, garnet and paints

Processes Used - visual inspection, surface profile measurements, weather

conditions measurements, WFT and DFT measurements, Holiday Testing and
Adhesion Test

Codes and Standards Involved BS 7079, SIS 05-59-00, ISO 8501, 1GE-SR 21,
SPAs, SSPC-PA1, SSPC-PA2, ASTM D5162, Saudi Aramco Engineering Standards
(SAES-H series)

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 -

Page 10 of 12 CSWIP/10YR/2017
 TWI CL Eye Sight Test form
Name of individual
tested Date Of Birth
Address

To comply with certification requirements, all CSWIP & BGAS-CSWIP

Certificate holders are required to submit results of an eye test taken
within the last 2 years.

ALL CSWIP & BGAS-CSWIP CERTIFICATE HOLDERS MUST TAKE A NEAR

VISION TEST:

Is the above named person capable of reading Times Roman N4.5 or Jaeger 1
on a standard reading test plate at a distance of no less than 30cm unaided or
corrected in at least one eye?

CAN READ UNCORRECTED CAN READ WITH CORRECTION IS NOT

ABLE

All BGAS-CSWIP & CSWIP NDT Certificate holders must also provide the
results of a colour perception test.
Colour perception shall be assessed by the Ishihara 24 plate test.

Colour Perception Test: Satisfactory Unsatisfactory

Radiographic Interpretation, Radiographic Inspector & TOFD certificate

holders are also required to complete a Shades of Grey Perception Test.

Shades of Grey Perception: Satisfactory Unsatisfactory

DETAILS OF PERSON PERFORMING THE ABOVE TEST:

Date of Test: Print Name of Person who Performed the

above Test:
Signature of Tester:
Emboss official stamp here:
Profession please tick:
Optometrist
Medical Doctor
Registered Nurse
Certified to ISO 9712 Level 3
Other (please specify)

Page 11 of 12 CSWIP/10YR/2017
Eyesight tests provided by opticians/hospitals etc. will be accepted as long as they clearly
state that all of the requirements have been met. If needed or for guidance please use this
TWI CL Eye Test Form. Any observed difficulty during the eye test should be reported to the
employer.

Page 12 of 12 CSWIP/10YR/2017