1.
申请人姓名
电话：
地址：
电话：
电话：
城市：
省
邮件：传真：
2.如果您当前或以前认证过CSA 标准W178.2，请提供您的注册号：
3.期望认证级别：（请参阅下面的各级别经验要求）
3.1
一级
二级
三级
3.2
4.
5.认证费
长考试
短考试
批准人：
日期：
W178.2
焊接检验员认证申请
重要说明: 申请表务必填写完整，不完整的申请表将造成处理延误并可能被退回给申请人。

填写完成后，请将此表的提交给最近的加拿大焊接协会办事处（参见末页的各地区办事处地址），并自行保留副本。

名
姓
居住地
街道
办公
邮编
国家
手机
最低焊接或检验工作年限要求如下：
(a) 对于一级认证，申请人应当在CSA 标准W178.2第9.1.2条规定的一个或更多领域拥有至少一年的工作经验，或者顺利通过焊接基本理论与实践操作、质量控制和焊接检验的考试。

(b) 对于二级认证，申请人应当拥有至少两年的一级焊接检验员工作经验。

(c) 对于三级认证，申请人应当拥有至少四年的二级焊接检验员工作经验。

(d) 在特殊情况下，实习焊接检查员可以有资格直接晋级为二级或三级。

在这种情况下，申请人应证明其所受的教育、培训和工作经验经验等效于二级或三级。

所有申请认证的申请人必须在申请之日起一年内顺利通过其申请等级的全部考试内容，否则其认证申请将被终止。

如果适用，在下表填写你已经顺利完成的认证培训课程，包括焊接的基本理论与实践操作、质量控制和焊接检验。

机构名称课程或研究项目名称
开始日期(MM / YYYY)完成日期(MM / YYYY)
课程或项目的总月数
认证费包含相应的税费，应在提交认证申请表时支付。

未缴费的申请将不会被处理。

认证费可在支付日起三十日内退款，但需扣除服务费。

不符合条件的申请人将在扣除服务费后退还全部费用。

日期
申请人签名
MM / DD / YYYY
认证请求完成后，你是否希望将你的姓名、认证等级、居住城市和电话号码公布到加拿大焊接协会的官方网站上？仅供加拿大焊接协会填写
注册编号：
等级：
否
是
1
1.Applicant's Name:
Tel.:
Address:Tel.:
Tel.:
City:
Province
Email:Fax:
2.If you are currently or were previously certified to CSA Standard W178.2 , provide your Registration Number:
3.Level of Certification Desired: (See experience requirements for each level below)
3.1
Level 1
Level 2
Level 3
3.2
4.
5.Certification Fee
Long Exam
Short Exam
Approved By:
Date:
TOTAL # OF MONTHS FOR COURSE OR PROGRAM
W178.2
Street
Applicant's Signature
The certification fee including applicable tax is payable upon submission of the application form.Applications received without the fee will not be processed.The fee,less a service charge,is refundable only within 30days from receipt of payment.Candidates who are not eligible will be refunded the full fee less a service charge.
DATE
Level:
Upon completion of the certification requirements, do you wish to have your name, certification level, city of residence and telephone
number published on the CWB Group's website?Reg. No.
FOR CWB USE ONLY
NAME OF INSTITUTION
Middle Name
If applicable, identify recognized training courses in the Fundamental Principles and Practices of Welding and Quality Control and Inspection of Welding that you have successfully completed.
DATE COMPLETED (MM / YYYY)
IMPORTANT:Applications MUST be completed in full.Incomplete applications can cause delays in processing and may be returned to the applicant.
Upon completion,please submit one copy of this form to the nearest office of the Canadian Welding Bureau (see region office addresses on the last page)and retain a copy for your file.
First Name
All candidates applying for certification must successfully complete the required examinations within one year from their application
date for certification in the desired level, otherwise their application for certification will be st Name
The minimum years of welding or inspection experience is as follows:
(a) For Level 1 certification, the candidate shall have obtained at least one year of experience in one or more of the areas specified in Clause 9.1.2 of CSA Standard W178.2; or successfully completed recognized courses in the fundamental principles and practices of welding, quality control, and welding inspection.
(b) For Level 2 certification, the candidate shall have at least two years of experience as a certified Level 1 welding inspector.(c) For Level 3 certification, the candidate shall have at least four years of experience as a certified Level 2 welding inspector.(d) In exceptional cases, practicing welding inspectors may be eligible to qualify directly as Level 2 or Level 3. In such cases,
candidates shall demonstrate that their combination of education, training, and experience is equivalent to either Level 2 or Level 3.MM / DD / YYYY
APPLICATION FOR CERTIFICATION AS WELDING INSPECTOR
Country
Postal Code
Business
Cell
DATE STARTED (MM / YYYY)
NAME OF COURSE OR PROGRAM OF STUDY
Residence
NO YES。