Application form

EFNARC TBM Prüfer Ausbildung

Please complete the registration form accordingly. In the next step, you will be redirected to a Stripe page to process your deposit. You will receive a confirmation email in your inbox. Please note that your registration will only become valid once the deposit has been received via Stripe. If you have any questions, please feel free to contact info@cuc.academy .

TBM Examiner COURSE application form

COURSE DATE

Please contact EFNARC to obtain the course date

PARTICULARS - Please write your personal details

Name *

Date of birth *

Nationality *

Billing address

Address Line 1 *

Address Line 2

Postcode *

City / Town *

Country *

Tel *

Email *

EMPLOYMENT - State the TBM examiner's jobs going back 5 years

Employment 1

1.1 Company
1.2 Position
1.3 Time of employment (MMYY-MMYY) *

Employment 2

2.1 Company
2.2. Position
2.3 Time of employment (MMYY-MMYY)

Employment 3

3.1 Company
3.2 Position
3.3 Time of employment (MMYY-MMYY)

EXPERIENCE ON TBMs - Tell us about your experience on TBMs

Experience 1

1.1 Name of project
1.2 Duration of experience (MMYY - MMYY)
1.3 Task performed
1.4 Type of TBM
1.5 Diameter of TBM *

Experience 2

2.1 Name of project
2.2 Duration of experience (MMYY - MMYY)
2.3 Task performed
2.4 Type of TBM
2.5 Diameter of TBM

Experience 3

3.1 Name of project
3.2 Duration of experience (MMYY - MMYY)
3.3 Task performed
3.4 Type of TBM
3.5 Diameter of TBM

Total length of experience on TBMs (years) *

EXPERIENCE AND KNOWLEDGE

I have experience as a...

ring builder

shift manager

TBM Manager

TBM Operator

FURTHER INFORMATION

Spoken languages

Please list the languages you speak on a technical level i.e. to handle assessments on *

Please state in which country you plan to give the TBM pilot course as an Examiner.

State only one country *

REFEREE - State the contact details to at least two (2) persons excluding the Examiner who can grant the stated experience.

Referee 1 - details

1.1. Name
1.2 Address
1.3 Tel
1.4 Email *

Referee 1 - relationship

Write and explain your relationship to the Referee? In what way have you worked together? *

Referee 1 - reference

Has the Referee been asked to be reference? *

Referee 1 - recommendation

Does the Referee believe that you have a suitable background to run EFNARC TBM Examiner Assessments? *

Referee 2 - details

2.1. Name
2.2 Address
2.3 Tel
2.4 Email *

Referee 2 - relationship

Write and explain your relationship to the Referee? In what way have you worked together? *

Referee 2 - reference

Has the Referee been asked to be reference? *

Referee 2 - recommendation

Does the Referee believe that you have a suitable background to run EFNARC TBM Examiner Assessments? *

Agree to Data Protection terms

Please note that all your private personal information will be subject to local, national and international laws on data protection
- however once you have been accredited as an EFNARC TBM Examiner your name and contact details may be made available by
EFNARC to those with a legitimate reason to request it to prevent fraudulent use of the accreditation.

Yes, I agree to the Data Protection terms *

Confidentiality Agreement

I agree that the TBM Examiner Notes and other materials provided by EFNARC shall be treated as confidential and shall only be used for the purpose of obtaining and maintaining TBM Examiner Certification. I shall not disclose the said documents to any other parties without the expressed permission of EFNARC.

Yes, I agree to the Confidentiality Agreement *

Spam protection *

*required fields