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7/29/2019 WI WE Re Exam Pkg v1
1/1
CWI ONLY OR CWI/CWE COMBO
RE-EXAM APPLICATION
Mail to: 8669 Doral Blvd. Suite 130 Doral, FL 33166-6640 (800) 443-9353 or (305) 443-9353, ext. 273
CWI Re-Exam Application Page 1 of 1 October 10, 2012
Visual Acuity Record - please visit our website http://www.aws.org/certification/docs/VisualAcuityRecord.pdf
Applicants Last Name
First Name MI
Mailing Address Apt #
Address contd
City, State, Zip Code
Social Security Number Date of Birth mm/dd/yy
X X X X X
Home Telephone number Mobile Telephone number
METHOD OF PAYMENT
Payment must accompany your application.
Check or Money Order #_______________
VISA MC AMEX Diners DiscoverCredit Card #
Expiration Date
Mo
Yr
Signature
AWSUSE ONLY
Date______________________________
Acct # _____________________________
Amt $ _____________________________ CWI
PLEASE CHECK TEST PART(S)
Part A Fundamental
Part B Practical
Part CCode Application
D1.1 API-1104 D1.2 D15.1
D1.5 ASME VIII, ASME IX ASME IX, B31.1, B31.3
ADD CWECERTIFICATION
REQUIRED DOCUMENTS:
- COPY OF WELDER CERTIFICATION OR TEST RECORD- CWEWELDING INSTRUCTOR CREDENTIALS
PLEASE INDICATE THE EXAM LOCATION OF YOUR CHOICEALLOW 3-4 WEEKS PROCESSING TIME. CONFIRMATION LETTERS WILL BE EMAILED UNLESS EMAIL ADDRESS IS NOT INDICATED
AWS Seminar/Exam Schedule- Please visit our website http://www.aws.org/certification/seminarexam/
1st
Site Code: _________________ Exam Date: __________________ City/State: _______________________ *Submission Deadline: __________________
2nd
Site Code: _________________ Exam Date: __________________ City/State: _______________________ *Submission Deadline: __________________
3rd
Site Code: _________________ Exam Date: __________________ City/State: _______________________ *Submission Deadline: __________________
NOTE: AWS strongly recommends the applicant selects a second and third site location alternative. If the first choice is not available, the next available location
will be selected. Please donot make any hotel or flight arrangements until you have received your exam confirmation letter from the Certification Department.
Please indicatethe following seminar of your choice or choose Examination only
API-1104 Code Clinic workshop (code book not supplied) D1.1 Code Clinic workshop (code book not supplied)
API1104 Seminar Week Pak (code book not supplied) D1.1 Seminar Week Pak
Welding Inspection Technology workshop Visual Inspection Workshop
EXAMINATION ONLY Seminar Retake Week Course (books not included)Available to candidates within one year of their original seminar start date.
Original exam dateHave you re-tested since your original exam date? Yes No
Account #
Certification # (if applicable)
If taking a non-AWS seminar prior to exam, please answer the following:
Name of Agency
City, State
Seminar date
Faxed or emailed applications are NOTaccepted
Re-Exam Fees Please visit our website http://www.aws.org/certification/pricelist/
AWS Policies and Fees Please visit our website http://www.aws.org/certification/policiesfees/