Application For Issue/renewal Of Certificate Of Competency Page 2

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10.
Certificate of Competency:
n
m
l
k
j
i Initial
n
m
l
k
j
Renewal
Type of Certificate of Competency Held
11.
Experience
(a) Total General Experience
(b) Experience on the type applied fo
Date
Signature of Applicant
TEST
1.
Source of Gas supply (for welding)
2.
Details of Equipment used for NDT/ process
3.
Check for purity of gas/serviceability of
n
m
l
k
j
satisfactory
equipment:
n
m
l
k
j
unsatisfactory
4.
Details of test piece fabricated
Specification of the
Test piece marked
Description
Remarks
test piece
5.
Date of fabrication/ NDT test

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