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

1. CERTIFICATE HOLDERS DETAILS

Name
House/Building name or number
Street/Road name
Town/City
Postal/Zip code
Country
CSWIP certificate number
Contact email
Contact telephone number
Date of Birth

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. Please enter card details just before posting or telephone +44(0)1223 899000 with the
details. Please note – any application received by email will be automatically deleted. 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 you pay all bank charges, ensuring that TWI
Certification Ltd receives exactly what is required from you.
It is important that your bank gives the following information when sending the transfer- Your name, your
certificate number and date the money was transferred. Please send with your application a copy of your
banks confirmation that payment has been made.

Bank name and address BARCLAYS BANK PLC, MARKET PLACE, SAFFRON WALDEN, ESSEX, CB10 1HR,
UNITED KINGDOM
Account number 60919349
IBAN number GB61 BARC 2074 2160 9193 49
Swift code BARC GB22
Branch sort code 20-74-21

Page 1 of 4 CSWIP/10YR/2019
PAYMENT BY COMPANY: If Payment is being made by a Company 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
VAT No.

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.

Page 2 of 4 CSWIP/10YR/2019
Important: All of the Items that are listed in the Checklist below must be produced for your
application to be successful.

Incomplete applications will incur an additional administration fee, (minimum £35.00).

CHECKLIST FOR APPLICATION

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. Original Log Sheets or employment pages from your Log Book (Signed and
stamped) by your employer(s) covering at least 48 months out of the 60
months covered by the certificate you are renewing
Please note that we do not normally accept experience or employment
certificates.
4. Completed 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.
7. The 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

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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)

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.

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