Application For Welder'S Test - Unrestricted License Form - Office Of The Fire Commissioner
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1
2Office of the Fire Commissioner
Inspection and Technical Services
Date:
____________
Welding Centre
98 Paramount Road
Symbol No: ____________
Winnipeg, Manitoba, Canada R2X 2W3
Phone: (204) 945-1276
APPLICATION FOR WELDER’S TEST – UNRESTRICTED LICENSE
***This application must be filled in completely and returned to the Office of the Fire Commissioner Main Office at 500 - 401
York Avenue, Winnipeg, MB, R3C 0P8 with payment prior to a test date being issued . Failure to do so will delay the
processing of your application.*** Questions regarding this process may be directed to 204-945-3373.
Photo I.D. required at time of test. Please make cheque or money order payable to the Minister of Finance. Do not send
cash in the mail.
P E R S O N A L
I N F O R M A T I O N
Name: _______________________________________________________________ Date of Birth:__________________
(Surname)
(First name)
(Middle Initial)
(YYYY/MM/DD)
Address: __________________________________________________________________________________
(Apt/Street)
(City, Province)
(Postal Code)
_____________________________________ _____________________________________
____________________
(Signature of Applicant)
(Phone number)
(Date)
UNRESTRICTED WELD TEST
FOR INITIAL TEST ONLY
SMAW/SMAW, F3/F4
Manitoba Journeyman Certificate
GTAW/SMAW, F6/F4
Inter-Provincial Red Seal _________________
GTAW/SMAW, F6/F5
Affidavits
Documents
Photo I.D.
OTHER ____________________
Exams are held in the mornings, Mon-Tues, Thurs-Friday.
Please indicate your preferred test dates (Minimum of 2 weeks from the date of this application): ______________________
Your test date will be confirmed via phone by OFC personnel if application is mailed.
If you prefer to be notified by email, please include your email address: __________________________________________
D E P A R T M E N T
U S E
O N L Y
Test Date:___________________________ Client Contacted on: _____________________________ Initial: ________
RE S ULTS
CO MME N TS :
P a s s
Fa il
L ice n se I ss u ed to W elde r? Ye s No
__________________________________
___________________________
____________________
Welding Examiner
Receipt Number
Date
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