Application for Certification of Person DIN-Geprüftsurface Treatment Inspector Page1 Of2

Application for certification of person „DIN-GeprüftSurface Treatment Inspector“Page1 of2

APPLICATIONfor certification ofpersons

- DIN-GeprüftSurface Treatment Inspector -

DIN CERTCO Gesellschaft für

Konformitätsbewertung mbH

Alboinstraße 56

D-12103 Berlin

/ First certificate
Renewal
Amendments/Extensions/Transcription
Level A  Level B Level A Level C
Level B Level C
Previous registration number
(if application for a renewal or Amendments/Extensions/Transcription))
Certificate languages:
German (obligatory)EnglishFrench
others______printable file(300 dpi)
ID card:
GermanEnglishincl. photoon theID card(please send bye-mail)
Applicant: Company (employed)Private person (or independent)
Title: Madam Sir
Surname,
First name / Born on:
(educ.) Title: / E-mail
Company / Owner of the company[*]
Street / ZIP/Place
Phone / Fax
E-mail / Internet
Order No. / VAT No.
Billing address / Street
ZIP/Place
Delivery address / Street
ZIP/Place

If the information from the applicant relates to the company address, please do not give the private address.

Training partner:(Ifattendingtraining please contact the training partner directly; Applies only to First certificate)

IKSDresdenOFI, Vienna IFO ACADEMY, Schwäbisch Gmündwithout training

According to the professional experience following level is ordered(this is independent of examination):

Level ATechnical professional education or 7 years of relevant work experience

(Basis requirement)

Level B In addition to Level A minimum of 2 years full-time experience in the field of monitoring of paints and/or coatings work

Level C In addition to Level A minimum of 5 years full-time experience in the field of monitoring of paints and/or coatings work

According to the requested level following documents are submitted:

Copy of the diploma of professional education or seven years of relevant work experience (applies to Levels A, B and C and onlyif initial certification)

Training/ education certificates occupational /skill-based qualifications

(appliesfor Levels A, B and C)

Formless tabulation of executed projects for the period of the last 2 or 5 years (applies for Levels B and C only)

If desired, photo for the ID cardas JPG or TIF (please send to e-mail:)

The following documents are available to us and are fully recognized by us:

Certification Scheme „DIN-GeprüftSurface Treatment Inspector"
Schedule of fees ofDIN CERTCO for “DIN-Geprüft Surface Treatment Inspector”in its current version
General Terms and Conditions of DIN CERTCO

Pursuant to our General Terms and Conditions, we reserve the right to request a reasonable payment in advance for the requested service.

All personal data is saved and processed in automated procedures according to Art. 6 GDPR (General Data Protection Regulation). The right to use this data for the purpose of advertising or market and opinion research can be revoked at any time.

Place/Date / Company stamp/legally binding signature

[*]Applies only to companies without legal form