The Indian Institute of Welding-ANB

Authorised Nominated Body of the International Institute of Welding in India

IIW-India House, Plot No: 38-Geetanjali Park
200, Kalikapur Main Road, P.O Mukundapur,
Kolkata - 700 099, Phone:+91 33 4006 1837
E Mail:anb@iiwindia.com , Website:http://www.iiwindia.com

APPLICATION FOR
WELDERS’ APPROVAL TESTING &
CERTIFICATION AS PER: IS, ISO, ASME, AWS STANDARDS Affix one
Stamp Size
1. FULL NAME: ______________________ Photograph
(in CAPITAL WITH CORRECT SPELLING) of Candidate

2. Photo Identity Card Ref_____________________________ Citizen___________

3. Name of Father/ Mother___________________DOB________ Place____________

4. Mailing Address: _____ Identified by

Contact Phone No: (Mobile No.): E Mail Address ______________

5. Testing/Certificate applied for the Specific Standard ___________________________________

6. Application Personal / through Institution (Name/Identification)
7. Testing/Certificate Requested for Specific Welding Process MMAW / MIG / MAG /TIG / Any
Other………………(Please mention Process no as per ISO 4063 if possible)
8. Parent Material Specification: …………………………………………………………..
9. Welding Joint: i.e. Fillet, Plate Butt, Pipe & Welding Position as per sketch on back
10. Whether Qualified WPS is available?If available, the same is to be provided………………………
11. If Qualified WPS is not available, whether the same is also to be prepared…………………………
12. Preferred Testing Location / Centre (conforming to Form WTC 50A)………………………………
13. Details of prior relevant qualification & Experience (Attach extra sheets with proof of qualification
and relevant experience as required:

14. Declaration:
I possess appropriate health, eyesight, physical and mental capability for safe operation of welding
equipment with full performance of duties as may be necessary as a Certified Welder. I am not a minor as
per the Indian Labour Law.
I confirm that the above particulars are true and according to my belief, I am eligible to Apply for the
required Certificate. I am aware that after acquiring the Certificate I shall be fully responsible for safe
custody of the same and obtain timely endorsement/renewal for its continued validity. I shall prevent any
misuse or alterations of the original Certificate issued. In case of misuse, the Certificate may be withdrawn
apart from any other steps as may be necessary.

Place Date:
Signature of Applicant

Recommendation by Authorised Examiner/Assessor

Name, Signature& Date

FOR ANB USE ONLY

Form No.: ANB-INDIA:F:WAC:45 Rev No: 05 Dec 2017 Page 1 of 2

Approved By
PLATE WELDING POSITION ASME SEC IX & ISO 6947

PIPE WELDING POSITION ASME SECTION IX & (ISO, EN)

 The 1G and 5G horizontal and 2G vertical positions refer to the pipe position.

Form No.: ANB-INDIA:F:WAC:45 Rev No: 05 Dec 2017 Page 2 of 2