Application for CoPC

Education, Training and Work Experience
Documents(CV, Diplomas, Work Certificates, etc)*

Browse Files
Please upload CV and other relevant documentation on your competence. Cancelof
Work experience both Hazardous and Non-Hazardous Areas

Upload a brief resume (CV) in chronological order (latest experience first). The resume should provide details of the Employer, type of industry, position and responsibility.

Work experience in or associated with Hazardous Areas

See IECEx OD 504 and specify the relevant information related to the prerequisites for the units you apply for in the fields below. The Work Experience Record should include examples of actual work done in or associated with hazardous areas.

Upload evidence of the relevant training and work experience.
Relevant qualifications, education and training*
Example:
1995-1998: 
Bachelor of Electronics Engineering, Uppsala University, Sweden
2005: 
3-days Ex-Basic training, X institute, Scotland
2011: 
5 days EEHA training, Y institute, Australia
Describe your work experience relevant to the units you apply for, including the duration of the work*
Ex protection techniques used*
Standards used*
Your responsibilities for this work (did you supervise others, did you work independently, or did you work under supervision?)*
To see if you fulfull the prerequisites in OD 504, your experience is assessed on the basis of:

● Qualifications, education and training
   [Level of technical education attained]

● Experience period
   [Total years of relevant experience]

● Relevance of experience
   [e.g. installation, design, selection, inspection, test, maintenance etc.]

● Level of supervision
   [Supervision of others, or work under supervision]

● Type of sites and plants worked on
   [e.g. shipbuilding, oil, chemical, petrochemical, pharmaceutical, waste water, mill, sugar refinery, woodworking etc.]

Sufficient information should be provided to enable an evaluation to be made of your work experience.
At the last page you will be asked to make a declaration in accordance with IECEx OD 502 section 3.3.6, sign and submit your application.

DECLARATION
I am aware of and familiar with the requirements for the IECEx Certificate of Personnel Competence or the IECEx Ex Facility Orientation Certificate (EFOC). Should my application for certification be accepted, I understand that these requirements shall be fulfilled.*

Confirmed
I accept that my contact- and assessment details will be stored by Exert Certification for 5 years in accordance with the rules of IECEx.*

Confirmed
I confirm that my certificate shall be issued and uploaded at www.iecex.com by successful assessment result for the unit(s) applied for. I agree to notify Exert Certification in written and before the assessment(s), in case I want to hold the issuing of the certificate due to plans of assessing higher units within 3 months after first assessment.*

Confirmed
I will notify the Certification Body in good time before the assessment if I am in the need of any special accommodation in connection with the execution of the assessment(s).*

Confirmed
I declare that I will not disclose any information about the assessment questions and assignments to any third party.*

Confirmed
I declare that I will comply with existing requirements for the IECEx Certification of Personnel Competence Scheme, will not misrepresent the scope of certification and agree to pay the expenses in connection with my application.*

Confirmed
I have no current application pending with any other ExCB*

Confirmed
I declare that all information provided with this application is true and correct*

Confirmed
Date of Application *

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Date
Applicant signature*

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