‘Application Form for CSWIP Late Five Year Renewal (Overseas) 1. CANDIDATES DETAILS (Candidates Name | MINHAJ MOHAMMED. House/Building 10-1.945/945 [Name or number Street/road Name | AC Guards Town/City Khairtabad, Hyderabad, Telangana (Postal/Zip Code | 500008 Country INDIA | [[CsWiP Certificate Number | S262 5 [Contact mall ‘Mdminhsi879@gmallcom 7] |Contact Telephone Number | 8978605876 [Date of Birth 05-07-1973 2. PAYMENT DETAILS ‘The Fee for processing this late Renewal Application is £264,00. (Pounds Sterling) lease note that all renewed Certificates are sent standard alrmall with no tracking detalls, Ifyou ould lke Your renewed Certificate to be couriered with tracking detals, this is an extra cost oy £30. Please tick if you would like your renewal couriered —(] oD (Please Note: We willnot be able to courier to addresses with P.O. Box numbers) Cavment can be made either by Cheque/Demand Draft made payable to TWI Certification Ltd or Credit Card Details Below. [Card Holders Name | ] (Card Number [Expiry Date | Stan Date The last 3 Digits of Security code on reverse of Card ‘TWI Certification Ltd Bank Detaits: Please ensure that when you are making a Bank Transfer that you pay all bank charges, ensuring that TWICertification 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 : BARCLAYS BANK PLC, MARKET PLACE, SAFFRON WALDEN, ESSEX, CB1O IHR, UNITED KINGDOM [S¥eRunc a7e | conioaaa ] | STERLING A/c:_|IBAN CODE GB36 BARC 2074 0560 9103 48 [Swit cove: [wane ea22 Page 1 of 7 CSWIP/SYRLATE/2014a --—-—|—-LlLlrlrtttst~<“‘i‘“COsw~S~S 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 ema address with your application. [ Company Name Contact Name Address: | [Telephone Number [Company Emal CHECKLIST FOR APPLICATION Ail ofthe ttems that are Isted inthe Checklist below must be produced for your application to be ‘successful. Please tick the Items that you have enclosed. fel items Enclosed Tick | 1, | Candidates Details Zi 2. | Method of Payment | Credit Card Details Provided VEE Copy ofBankTransfer andstate date) transfer was sent ‘Cheque/demand draft enclosed. Payable To: TWI Certification Ltd in Pounds Sterling = | ee ars a J, | Log Sheets/ Book (signed and stamped) by your employer(s) v in order to successfully renew your CSWIP qualification It Is @ 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) v %. | One Current Passport Size Photograph of yourself taken within the last 2 years wm 7: | ai original document, giving results of an eyecight test taken within the last 2 Ra ‘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 alded or un-aided you can read Times Roman point size N4.5 or Jaeger point size J1 at a distance of not less than 30cms. For your convenience a form for thisis attached. & | The CSWIP Certificate that you are applying to renew (Photocopies of this ey |__| certificate are accepted) ee \ When complete please submit your application by post to: Wi Certification Ltd, Granta Park, Great Abington, Cambridge, CB21 GAL, United Kingdom Page 2 of 8 cswiP/SYR/20153. Log sheets RENEWAL OF CSWIP CERTIFICATES GUIDANCE NOTES ON COMPLETING THE LOG SHEET tn order to qualify for renewal, 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 Torresponding to your certificate) for one or several periods during the validity of the certificate Goes 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 CSWIP Log Sheets then please visit: www.cswip.com Page 3 of 8 cswip/5¥R/2015