5: QUALIFICATIONS COMPLETED PLEASE TICK FOR INITIAL/ ADDITIONAL QUALIFICATIONS, PLEASE USE FOR REASSESSMENTS ‘R’ RE-ASSESS √ TITLE UNITS QUAL UNITS 001/ 002/ 101/ 102/ O1 EXCAVATION IN THE ROAD/ HIGHWAY 003 103 O2 EXCAVATION, BACKFILLING AND RE-INSTATEMENT COLD LAY 001-006 101-106 – 001/ 002/ 101/ 102/ O3 REINSTATEMENT HOT& COLD LAY BITUMINOUS MATERIALS 006/ 007 106/ 107 001/ 002/ 101/ 102/ O4 REINSTATEMENT OF CONCRETE SLABS 008 108 001/ 002/ 101/ 102/ O5 REINSTATEMENT MODULAR SURFACES & CONCRETE FOOTWAYS 009 109 O6 SIGNING, LIGHTING, & GUARDING 002 102 001/ 010/ 101/ 110/ S1 MONITOR EXCAVATION IN THE ROAD/ HIGHWAY 011 111 MONITOR EXCAVATE, BACKFILL AND RE-INSTATE 001/ 101/ – S2 010-014 110-114 CONSTRUCT LAYERS 001/ 010/ 101/ 110/ S3 MONITOR REINSTATE HOT & COLD LAY BITUMINOUS MATERIALS 014 114 001/ 010/ 101/ 110/ S4 MONITOR REINSTATEMENT OF CONCRETE SLABS 015 115 001/ 010/ 101/ 110/ S5 MONITOR REINSTATE MODULAR SURFACES & CONCRETE FOOTWAYS 016 116 S6 MONITOR SIGNING, LIGHTING & GUARDING 010 110 NORTHERN Specify Country of Work ENGLAND SCOTLAND WALES IRELAND 6: FEES AND PAYMENT (valid until 31 March 2015) CHEQUE/ POSTAL ORDER Please make out to INITIAL REGISTRATION £25.10 ‘SWQR’ ADDITIONAL QUALIFICATIONS £20.15 REPLACEMENT CARD £20.15 RE-REGISTRATION (within three months of expiry) £20.15 RE-REGISTRATION (outside three months of expiry) £25.10 REASSESSED CARD £25.10 CENTRE NUMBER PLEASE LIST CENTRE NUMBER: Only SWQR approved centres are invoiced for payment PURCHASE ORDER NUMBER: As required by centre I the undersigned hereby certify that the above candidate details have been completed accurately. Please note that all information given will be taken as precise by SWQR and no liability will be held for inaccurate information SIGNATURE DATE PRINT NAME RETURN TO: SWQR, THE OPTIMA BUILDING, 58 ROBERTSON STREET, GLASGOW, G2 8DQ TEL: 0345 270 2720 FAX: 0345 213 5000 WEBSITE: www.swqr.org.uk
5: QUALIFICATIONS COMPLETED PLEASE TICK FOR INITIAL/ ADDITIONAL QUALIFICATIONS, PLEASE USE ‘R’ FOR REASSESSMENTS √ QUAL TITLE UNITS RE-ASSESS UNITS O1 EXCAVATION IN THE ROAD/ HIGHWAY 001/ 002/ 003 101/ 102/ 103 O2 EXCAVATION, BACKFILLING AND RE-INSTATEMENT – COLD LAY 001-006 101-106 O3 REINSTATEMENT HOT& COLD LAY BITUMINOUS MATERIALS 001/ 002/ 006/ 007 101/ 102/ 106/ 107 O4 REINSTATEMENT OF CONCRETE SLABS 001/ 002/ 008 101/ 102/ 108 O5 REINSTATEMENT MODULAR SURFACES & CONCRETE FOOTWAYS 001/ 002/ 009 101/ 102/ 109 O6 SIGNING, LIGHTING, & GUARDING 002 102 S1 MONITOR EXCAVATION IN THE ROAD/ HIGHWAY 001/ 010/ 011 101/ 110/ 111 S2 MONITOR EXCAVATE, BACKFILL AND RE-INSTATE – CONSTRUCT LAYERS 001/ 010-014 101/ 110-114 S3 MONITOR REINSTATE HOT & COLD LAY BITUMINOUS MATERIALS 001/ 010/ 014 101/ 110/ 114 S4 MONITOR REINSTATEMENT OF CONCRETE SLABS 001/ 010/ 015 101/ 110/ 115 S5 MONITOR REINSTATE MODULAR SURFACES & CONCRETE FOOTWAYS 001/ 010/ 016 101/ 110/ 116 S6 MONITOR SIGNING, LIGHTING & GUARDING 010 110 Specify Country of Work ENGLAND SCOTLAND WALES NORTHERN IRELAND 6: FEES AND PAYMENT (valid until 31 March 2015) CHEQUE/ POSTAL ORDER Please make out to ‘SWQR’ INITIAL REGISTRATION £25.10 ADDITIONAL QUALIFICATIONS £20.15 REPLACEMENT CARD £20.15 RE-REGISTRATION (within three months of expiry) £20.15 RE-REGISTRATION (outside three months of expiry) £25.10 REASSESSED CARD £25.10 CENTRE NUMBER PLEASE LIST CENTRE NUMBER: Only SWQR approved centres are invoiced for payment PURCHASE ORDER NUMBER: As required by centre I the undersigned hereby certify that the above candidate details have been completed accurately. Please note that all information given will be taken as precise by SWQR and no liability will be held for inaccurate information SIGNATURE DATE PRINT NAME RETURN TO: SWQR, THE OPTIMA BUILDING, 58 ROBERTSON STREET, GLASGOW, G2 8DQ TEL: 0345 270 2720 FAX: 0345 213 5000 WEBSITE: www.swqr.org.uk
SWQR_APPLICATION_FORM.docx