FIGURE 6 CITB Testing Services Internet Test Centre (ITC) Test Log – Test centre name Test centre number Address Test date Test administrator conducting test signature Print name Second test administrator (if present) signature Print name Type of Last four digits I consent to my Test Time Time Test Candidate’s Candidate’s name (block identification on photo being taken type, in signature out CITB administrator’s Candidate’s capitals) presented** photographic and held on record e.g. (confirming time signature registration ID by CITB *** HS&E in) number or CITB Ops testing ID* *If a candidate has previously taken a CITB test, please include their candidate registration number. If this is the first test the candidate has taken please include the CITB testing ID number (this is generated at the time of registering a candidate and also included on the candidates booking confirmation email/letter). **In the case of a Prison, the Prison Officer should print their name in this box and sign in the four digits on photographic box to confirm the identity of the candidate. (A test administrator within the prison environment may “Last ID” sign if they are able to verify a identity through PNOMIS). candidate’s *** Photographs are taken for CITB use only. This box is to be signed by the candidate. The Test Log must be retained on file for at least two years
FIGURE 6 CITB Testing Services Internet Test Centre – (ITC) Test Log Test centre name Test centre number Address Test date Test administrator conducting test signature Print name Second test administrator (if present) signature Print name Candidate’s name (block capitals) Candidate’s CITB registration number or CITB testing ID* Type of identification presented** Last four digits on photographic ID I consent to my photo being taken and held on record by CITB *** Test type, e.g. HS&E Ops Time in Candidate’s signature (confirming time in) Time out Test administrator’s signature *If a candidate has previously taken a CITB test, please include their candidate registration number. If this is the first test the candidate has taken please include the CITB testing ID number (this is generated at the time of registering a candidate and also included on the candidates booking confirmation email/letter). **In the case of a Prison, the Prison Officer should print their name in this box and sign in the “Last four digits on photographic ID” box to confirm the identity of the candidate. (A test administrator within the prison environment may sign if they are able to verify a candidate’s identity through PNOMIS). *** Photographs are taken for CITB use only. This box is to be signed by the candidate. The Test Log must be retained on file for at least two years
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