e Registration Form for the Engineer (FSengineer) Professional (FSP) Expert (FSE)
Page 2 of 8 1 Applicant Registration Information Applicant Position Title Birthday Sex Highest education Experiences Years of FS PHOTOS Telephone Telefax MSN: E-mail Company & Department Name / Company Address Website Reference 1 (Individual) Position Title/ Company E-mail of Reference 1 Phone No. of Reference 1 Reference 2 (Individual) Position Title/ Company E-mail of Reference 2 Phone No. of Reference 2 I, the undersigned, hereby confirm the validity of above information. Signature: Date: Page 2 of 8
Page 3 of 8 2 Eligibility Requirements Eligibility Requirements Engineer (FSengineer) /FS engineer With 2 years experience in the applicable industry at least With Engineering Education diploma With Two references from employed company Have certain ability on speaking English and written English (recommended) Follow a training course and successfully pass the associated exam Professional (FSP) 6 years experience in the applicable industry Education gives credits: Bachelor degree deduct 2 years Masters degree deduct 3 years Ph.D. degree deduct 4 years Two references from employed company Have certain ability on speaking English and written English (recommended Follow a training course and successfully pass the associated exam Expert (FSE) 10 years experience in the applicable industry Education gives credits Bachelor degree deduct 2 years Masters degree deduct 3 years Ph.D. degree deduct 4 years Submits two case studies Competence in communication about. This can be demonstration by publications, dissertations, trainings (as coach), member in FS committees or others Have certain ability on speaking English and written English (recommended) To be a Professional Participant(s) s declaration based on above I am holding a Bachelor I am holding a Master degree I am holding a Ph.D. degree I have two references in related working experience I have two case studies in related working experience to submit I have been as an FSEngineer of TÜV SÜD till now I have been as an FSProfessional of TÜV SÜD till now I have been years experience in the applicable industry till I have successfully passed the exam (date of exam) Competence in communication about (see chapter 3.3) Page 3 of 8
Page 4 of 8 3 Detailed Informations of applicants 3.1 Relevant Experience (The form can be added if needed) Form 01 Experience 1: Position/Title: Company Name: Location: Start Date Description of duties End Date Supervisor / Manager Name Supervisor / Manager Tel: Total working months: Supervisor / Manager Mail address: Experience 2: Position/Title: Company Name: Location: Start Date: Description of duties: End Date: Supervisor / Manager Name: Supervisor / Manager Tel: Total working months: Supervisor / Manager Mail address: Applicant Name: Total number of years of relevant experience: Signature/Date: Note: I certify that the above information is correct and accurate to the best of my knowledge. I understand that inaccurate information could void my TÜV certification any time in the future. Page 4 of 8
Page 5 of 8 (The form can be added if needed) Form 02 Experience 3: Position/Title: Company Name: Location: Start Date: Description of duties: End Date: Supervisor / Manager Name: Supervisor / Manager Tel: Total working months: Supervisor / Manager Mail address: Experience 4: Position/Title: Company Name: Location: Start Date: Description of duties: End Date: Supervisor / Manager Name: Supervisor / Manager Tel: Total working months: Supervisor / Manager Mail address: Applicant Name: Signature/Date: Total number of years of relevant experience: Note: I certify that the above information is correct and accurate to the best of my knowledge. I understand that inaccurate information could void my TÜV certification any time in the future. Page 5 of 8
Page 6 of 8 3.2 University Degree (minimum Bachelor's) in relevant field University or College Technical field (major) Degree earned Date Certificate of Diploma Name City Copy attached Country (check box) Applicant Name: Compliance to TÜV SÜD eligibility requirements Signature/Date: Note: I certify that the above information is correct and accurate to the best of my knowledge. I understand that inaccurate information could void my TÜV certification any time in the future. 3.3 Competence in communication for TÜV SÜD FSE Certificate Page 6 of 8
Page 7 of 8 3.4 Information for TÜV SÜD FSengineer/ FSP / FSE Certificate (please type or write in capital letters) Full Name (first name, second name): (As you would like it to appear on the TÜV Certificate) Company: Mailing Address: E-mail address: Phone: Fax: Comments: Page 7 of 8
Page 8 of 8 4 Attachments Individual ID CV in English Diploma copies Degree certificate copies Recommend letter Declaration by TÜV SÜD: The above personal information will never to be offered to any other body or person exclude the TÜV SÜD FSCP Governance Board. 5 Our service contact In Germany: Mr Günter Greil Tel/ 电 话.: +49/ (0) 89-5791 - 1797 Fax/ 传 真 : +49/ (0) 89-5791 - 2933 mailto/ 邮 件 :guenter.greil@tuev-sued.de http://www.tuev-sued.de/ Mr Wolfgang Henke Telefon/Phone 电 话 : +49 (0) 89 5791-3402 Mobil/Cell 手 机 : +49 (0) 160 7044498 mailto 邮 件 :wolfgang.henke@tuev-sued.de http://www.tuev-sued.de/rail In China: Mr. Zhao Yong / 赵 勇 先 生 Phone/ 电 话 : +86/ (0) 10-6590- 6186 ext301, Mobile/ 手 机 : +86 13910797350 Fax/ 传 真 : +86/ (0) 10-6590- 6182 mailto/ 邮 件 : yong.zhao@tuv-sud.cn http://www.tuv-sud.cn Ms. Li Qian / 李 倩 女 士 Phone/ 电 话 : +86/ (0) 10-6590- 6186 ext326, Fax/ 传 真 : +86/ (0) 10-6590- 6182 mailto/ 邮 件 : Qian.Li@tuv-sud.cn http://www.tuv-sud.cn http://www.tuv-sud.cn Page 8 of 8