ISO 9712:2021 INITIAL APPLICATION
For International Agents
1、个人信息 personal Informatica
2、考试地点 Exam Location
3、报考等级、方法和门类 NDT Level,Methods and Sectors.
4、合格工作经验-需由每个雇主完成，以满足最低工作经验要求 Qualified Work Experience-must be completed for each employer.
*工作内容需详细描述 Detailed Description Required *领导或人事经理续签字，加盖公章
Supervisor/HR manager's signature and company stamp is required
5、视力检查表 Visual Acuity Form
在认证、重新认证或更新之前，考生/证书持有人应按照 ISO 9712:2021 7.4 的要求进行视力测试。
Prior to certification, recertification or renewal, the candidate/certificate holder shall provide vision test in accordance with the requirements of clause 7.4 of ISO 9712:2021.
此表只适用于所有 CCIC ISO 9712 申请。
This form must be submitted for all CCIC ISO 9712 applications ONLY.
*视力表必须与申请表一起发送。 未符合所有要求及/或未提交申请表的申请人，其考试成绩/申请将作废
* This completed Visual Acuity Form must be sent to along with the application. Applicants who have not fulfilled all requirements and/or have not submitted the form, shall have test scores/application voided.
1）30cm 以上距离上进行近视力检查。Verify the customer’s close vision acuity to Jaeger J1 specifications at a distance of 30cm or greater (≥30.0 cm).
2） 通过色觉检查，申请人是否为色盲? Through a color perception examination, is the applicant colorblind?
3） 检查人信息 Examiner’s Information
4）检查人职业类别 Examiner professional status
6. 教育要求-包含学位证或毕业证 Education Requirements-MUST include a copy of degree.
7. 身份证明-护照或身份证的复印件 Proof of Identity – current color copy of government passport or national ID
8. 二级证书或通过二级实操考试的证明 Copy of level 2 certificates or any certificates about the successful completion of level practical examor Level 3 Candidates.
*仅针对三级考生 ONLY for Level 3 candidates
9. 照片要求 Photo Requirement
申请人须提供一张身份证格式彩色照片。Applicants MUST submit one (1) identification - style color photograph.
*General and Printed Photo Requirements (照片格式要求）
• 彩色 In color
• 1 寸（32mm x 26 mm）1inch (32 x 26 mm) in size
• 白色背景 Taken in front of a plain white or off-white background
• 正视前方 Taken in full-face view directly facing the camera
• 面部无表情、睁开双眼 With a neutral facial expression and both eyes open
• 不得佩戴眼镜、帽子或头巾 Do not wear glasses, a hat or head covering
• 必须以 JPEG 或 TIF 格式提交 File Format: The image must be in JPEG or TIF fifile format
10. 条款和条件-这部分必须阅读和检查，并由申请人签字并填写日期。 Terms and Conditions - This section of the application must be read, checked, dated, and signed by the applicant taking the exam
我同意遵守 CCIC 可能制定的现有要求和任何后续要求。我已阅读并同意 CCIC 政策中规定的条款和条件。本人证
明本人在本申请表中提供的信息是真实的。我理解任何虚假陈述都将使本申请无效。我允许 CCIC 验证此信息。本
人同意遵守标准中关于本人考试和认证管理的规定。在获得我的认证后，我授予 CCIC 披露我的认证状态的权利，
因为这与我的有效期和到期日期有关。本人进一步了解，任何不完整或缺失的必要信息将取消本次注册。
I agree to comply with the existing requirements and any subsequent requirements that may be instituted by CCIC.
I have read and agree to the terms and conditions set forth in the CCIC Policies. I certify that the information I
have included on this application is true. I understand that any false statements will nullify this application. I give
CCIC permission to verify this information. I agree to comply with the provisions set forth in the Standard
concerning the administration of my examination and certification. Upon obtaining my certification, I give CCIC the
right to reveal my certification status as it relates to my validity and expiration date. I further understand that any
required information that is incomplete or missing will cancel this registration.
考试政策及规则 EXAMINATION POLICIES AND RULES
此外，我证明，我没有获得任何考试材料，对 CCIC 考试问题或答案没有任何先验知识，并且在考试之前、期间或
之后的任何时间，我没有也不会接受候选人认证协议中规定的任何人对 CCIC 考试问题或答案的任何索取。我理解，
违反本誓言可能是我的认证无效的理由，也可能是我被开除出任何未来测试的理由。
Furthermore, I certify that I have not obtained any exam materials, have no prior knowledge of the CCIC exam
questions or answers, and have not and will not accept any solicitation for the CCIC exam questions or answers
from anyone at any time before, during, or after the exam as stated on the Candidate Attestation Agreement. I
understand that a violation of this oath may be grounds for invalidation of my certification and may be grounds for
expulsion from any future testing.
