CWI ONLY OR CWI/CWE COMBO RE-EXAM APPLICATION ... - AES

AWS RE-EXAM APPLICATION CAWI/CWI/SCWI/CWE/CWS/CWSR

Mail to: 8669 NW 36 St., Suite 130 Miami, FL 33166, U.S.A. Telephone: (1) 305 443-9353

International Agent Exams

Applicant's Last Name

Method of Payment

Payment must accompany your application.

Applicant's First Name

Check or D.D. # _______________________________________

VISA

Mailing Address

MC

AMEX

Diners

Discover

AWS INTERNATIONAL AGENT (AGENCY NAME)

Mailing Address (cont'd)

Apt #

City, State, Postal Code _________________________________________

Country

AUTHORIZED AGENT SIGNATURE, SEAL OR STAMP

Date of Birth mm/dd/AAAA

Work Telephone Number

AWS USE ONLY

Mobile Telephone Number

-Date___________________ -Acct # _____________________________

Electronic Mail (e-mail)

-Amt $ _____________________________ Original Exam Date: __________________________________ Have you re-tested since your original exam date? Yes No Member Number : ____________________ Certification Number (if applicable) : If you are required to take training prior to the examination please answer: Name of the Institution : ______________________________________ City, Country:

PLEASE CHECK PART(S) TO RE-TAKE

Seminar Date: From: ___________________ To: _________________

Required Documents: - Welder Certification or Test Record o - Employment Letter or Employment Certification (as an Educator) - CWE Welding Instructor Credentials: http://www.aws.org/certification/docs/CWE_InsCredForm.pdf

1 color photo is required: http://www.aws.org/certification/photoidreqs.html

Part A – Fundamental Part B – Practical Part C – Code Application D1.1 D1.5

API-1104

D17.1 D1.2

D15.1

ASME IX, B31.1, B31.3

ASME VIII, ASME IX

CHECK IF YOU ARE APPLYING FOR CWE

PLEASE INDICATE THE EXAM LOCATION OF YOUR CHOICE ALLOW 4 WEEKS OF PROCESSING TIME. YOUR RESULTS WILL BE DELIVERED TROUGH YOUR AGENT

The general schedule can be found in our web site: http://www.aws.org/w/a/registrations/prices_schedules_intl.html?noleft=1 Site Code: ______________

Re-exam Date: _____________

City: _______________________

Country: __________________

Agency:________________

Please do not forget to attach along with this application: - Copy of Passport (or National ID document) - Copy of certificate/diploma (Min 40 hours of further training) Re-examinations shall be considered as retaking the same exam. Candidates may retake one (1) re-examination within one year of the original exam date

without further training. Any additional retests taken will require documentation of 40 hours of further training received in welding inspection meeting the requirements of the document AWS QC1, numeral 16.5.1. The maximum number of retests taken in any three (3) year period is three (3).

Please indicate the type of seminar, course or training taken prior to this Re-exam. (Do not forget to attach a copy of diploma or certificate). ..CWS API-1104 Code Clinic Workshop. D1.1 Code Clinic Workshop. API-1104 Seminar.

D1.1 Seminar.

Welding Inspection Technology Workshop.

Visual Inspection Workshop.

NONE: I am applying for my first re-exam.

Preparation for the CWI exam.

CWSR SCWI Other.

AWS Policies and Fees (reference only): Please visit our website http://www.aws.org/certification/docs/refundPolicy.pdf Visual Acuity Record (CAWI/CWI/SCWI): Please visit our website http://www.aws.org/certification/docs/VisualAcuityRecord.pdf ** 1 Color Photograph (2"x2" or 51x51mm) is always required: http://www.aws.org/certification/photoidreqs.html

** All checks, Demand Drafts and money orders must be payable to the AWS Authorized International Agent where you will take your re-exam. List of AWS Authorized International Agents: https://www.aws.org/certification/inter_contact.html

AWS Intl' Re-Exam Application

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Ver.: Februrary 28, 2014