The Indian Institute of Welding-ANB

Authorised National Body of the International Institute of Welding in India

Centre for Welding Education,
nd
Reba Nibas, 2 Floor, 8/19 Fern Road, Kolkata 700 019, INDIA.
E Mail:anb@iiwindia.com, anbindia.iiw@rediffmail.com
Phone: +91 33 2460 5622, Website:http://www.iiwindia.com

APPLICATION FORM
TO APPEARIN ANB EXAMINATION PhotoOf
Candidate to be
FOR INTERNATIONAL WELDER pasted and
attested by ATB
1. Name: To enclose an
extra photo
2. Registration Number Date:
3. I wish to be examined as : InternationalPlate Welder / International Pipe Welder
4. Special Process (S) selected by me is: MMAW , MIG/MAG, TIG
5. Optional Material Chosen by me is: Nil, Stainless Steel, Aluminium
6. Application through Authorised Training Body (Name)
7. Examination Centre preferred Parent ATB/ Other
8. This is to declare that I have read the International Welder Prospectus and attended lessons in all
themodules except those exempt from attendance against my Application for Exemption and duly
authorised by ANB.
9. I wish to be examined/re-examined on the following Theory papers and Practical Tests
Sl Theory Paper for Examination To put Sl Practical Test ISO To put
No Mark on row No 9606 Mark on row
1 Theory Module A 9 Module E 2
2 Theory Module B 10 Module E 4
3 Theory Module C 11 Module E 6
4 Theory SA-111 (MMA)
5 Theory SM - 135/136 (MIG/MAG) 12 Module M 2
13 Module M4
14 Module M6
6 Theory ST - 141(TIG) 15 Module T 2
16 Module T4
17 Module T6
7 Theory PSS Material (SS)
8 Theory PAL Material (Aluminium)

10. Declaration: I confirm that the above particulars are true.I am aware that in the final examination
to be conducted under ANB India, the examination and test as per ISO 9606-1 will include
questions and tests from the total curriculum including the modules exempted for attending only.I
shall produce all my certificates in original for verification by the examiner
11. I am enclosing the necessary fees (Examination Rupees.1,000.00, Practical Qualification Test as
per ISO 9606/Equivalent @ Rs.500 per test and Certification Fees Rupees. 1,000.00 Only )
12. Two extra copy of my Passport-size photographs signed by me on the reverse is attached
Date:______________________ Signature: ________________________________

Form No.: ANB-INDIA:F:CEF:42 Rev. No.: 01 Issue Date: April11 Page 1 of 2

 FOR ATB USE ONLY
ATB Confirmation:

The photo and the signature of the candidate enrolled with us &applying in this Form are
verified with the original application.
We certify that the candidate has been exempted in Basic training in Metal Working / has
successfully completed the Basic training in Metal Working. (Tick whichever is applicable).
We have conducted the training course for the above candidate in full conformity with the
International Institute of Welding Guideline IAB-089-203/EWF-452-467-480-481 (Rev.3-
January 2005) with respect to lesson and practical exercises content and the minimum
specified hours in each case.
We confirm that the declaration by the candidates attendance in theory modules is..%
and in the practical modules is..%
The candidate attended the Theory and Practical Classes regularly.
o Theory Modules : % of total available . Hrs
o Practical Exercise : % of total available . Hrs
We confirm that the declaration by the candidate in the reverse side of this page to be true and
recommend the above candidate as fit for appearing in the ANB conducted examination and
practical test as per ISO 9606.
We offer ourselves as an examination centre for theory examinations and for conducting
practical test as per ISO 9606-1 based on approved WPS. We agree to provide all
infrastructural facilities for conducting the examination and provide equipment and materials
for conducting practical tests. All support and help will be available to ANB approved examiner
to conduct the examination based on prior notice
Date:
Authorised signatory
Place: _____________________

Name, Designation & Office seal

FOR ANB USE ONLY

Application Received on
1. Checked by ANB Office
2. Date & place of Examination
3. Approved by Controller of Examination
4. Candidate Intimation through ATB.
5. Confirmation of ATB

Form No.: ANB-INDIA:F:CEF:42 Rev. No.: 01 Issue Date: April11 Page 2 of 2