TV Rheinland Functional Safety Program

TV Rheinland FS Expert Certification

Note:

Please fill in below table with due diligence. Thank you!

First Name

Family Name

Email Address

Company Name
(full name as registered)
Legal form of company
(Ltd., plc., Inc. etc.)
Invoice address of company

Street, Number

District

ZIP Code

City

Mandatory requirement:
VAT ID / Registration No.
For companies in EEC Countries:

(available at your Finance or Legal

Department)
Only if your company is located in one of these countries: Algeria, Argentina, Australia, India,
Indonesia, South Korea, Taiwan, Thailand, Tunisia

For companies in Non-EEC

Countries:

Please send us a Copy of Business Registration Certificate

Signed & stamped by local authority such as Chamber of Commerce
(please forward document in pdf-format; available at your Finance or Legal Department.)

I hereby confirm that I wish to apply for TV Rheinland FS Expert

certification.

I have attached all necessary application documents.

I have indicated the VAT ID no. (EEC).

I have attached the Business Registration Certificate of my company as

copy (Non-EEC).
Date / Signature

TV Rheinland Functional Safety Program

For application to become a TV Rheinland FS Expert the following documents have to be sent in electronic form to:
veronica.gras@de.tuv.com

Document

Curriculum Vitae

Description

Please send us your detailed CV incl. following information:

Photography
Name
Title
Education
Engineering degree or other degree
Work Experience and responsibilities of employments in the past 10 15 years
Description of areas of specialization
Description of specific experiences and expertise in Functional Safety
Publications and conference presentations, experiences as trainer
Affiliation in related committees, interest groups etc.

Degree

Please send us a copy of your Masters/ Bachelors (Dipl.) degree in Engineering (or any
other technical area) or copy of any other degree.

References

Please send us 2 reference letters in written form, e.g. as business letter or statement
written on official company stationery:

From companies involved in Functional Safety

(manufacturers, system integrators etc.)

Stating reason of cooperation or experience with applicant

Indicating approx. time frame of cooperation

Case Studies

Please send us a synopsis of 2 case studies incl. the following information:

Purpose of case study or problem statement

Reference to special application area e.g. Safety Instrumented Systems, System
Hard-/Software Design etc.

Study Methods
Details of study
Results of study
Summary of case study
Glossary and References

TV Rheinland Industrie Service GmbH

Automation and Functional Safety

Am Grauen Stein
51105 Cologne (Kln) - Germany