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NDT-III-app-PdM-BETA
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Rev. 2/09/16
Examination Information
Location and Date
This Beta exam offering will take place at the Reliability Conference in Las Vegas, Nevada
DATE:
TIME:
Reference Materials
Pages 7 and 8 of this application lists training and body of knowledge reference
materials from which the beta exam questions were developed.
NDT-III-app-PdM-BETA
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Graduated from a minimum four-year college or university curriculum with a degree in engineering or a
physical science, plus one year (12 months) of experience in nondestructive testing in an assignment
comparable to that of an Level II in the applicable test method(s), as defined in ASNTs Recommended
Practice No. SNT-TC-1A, latest edition; OR
Completed with passing grades at least two full academic school years of engineering or a physical
science study at a university, college, or technical school, plus two years (24 months) of experience in
nondestructive testing in an assignment comparable to that of an Level II in the applicable test method(s),
as defined in ASNTs Recommended Practice No. SNT-TC-1A, latest edition; OR
Four years (48 months) of experience in an assignment at least comparable to that of an Level II in the
applicable test method(s), as defined in ASNTs Recommended Practice No. SNT-TC-1A, latest edition.
If you do not satisfy the above criteria for the method(s) in which you are applying, please do not submit an
application. Applications received from ineligible applicants will be returned to the applicant in accordance with
the Transfer / Cancellation / Refund Policy. It is your responsibility to determine your own eligibility.
Each time a new examination is attempted, you must supply documentary evidence of
education and experience appropriate for that examination. Do not rely on past applications to
meet this requirement. Recertifying and retaking personnel need only submit information new since the last
application.
Education
You must attach documentation for education if you are using post-secondary education to meet the Education
and Experience Requirements. Copies of diplomas or transcripts are acceptable. All documentation must be in
English or accompanied by an English translation.
List the name and address of the institution where your highest
level of education was obtained as it relates to your ASNT
Certification.
Institution
Address
NDT-III-app-PdM-BETA
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Rev. 2/09/16
Experience
Photocopy this page as necessary to list your experience history. List positions in order by most recent (including present
employer). You must supply documentary evidence of Level II or equivalent experience to meet the minimum experience
requirements in the method(s) for which you are applying. The Statement Option form at the bottom of this page is
acceptable as documentary evidence of work experience.
If Statement Option below is not completed by employer/customer, you will need to submit other documentation
supporting your work experience.
Acceptable (other) documentation can include; employer or third-party certificates or certification records, human
resources records, a signed statement from the employer or responsible Level III, a signed statement from an ASNT Level
III or ACCP Professional Level III, or, for self-employed personnel, signed statements from at least two (2) customers. III
or ACCP Professional Level III, or, for self-employed personnel, signed statements from at least two (2) customers. All
documentation must be in English or accompanied by an English translation.
Other supporting documents MUST state:
Other supporting documents that are NOT accepted:
1.
Level of qualification or Level II job duties
1. Certificate of Training / Non-employer issued qualifications
2.
Number of months working Level II or comparable
2. Level I certificates
of that of a Level II
Name__________________________________________________________________________
First, Middle, Last
ASNT ID
Position #
Dates of Employment
Start Date
End Date
Organization Name
Employer/Customer Contact Name
Organization Address
City
State/Prov.
ZIP/Postal Code
Phone
Fax
Country
Check experience (months performing work with Level II qualifications) by method as related to above employer.
PdM __ # of months
Briefly describe below the NDT tasks the candidate named above performed at this location for the PdMf method.
List the document(s) that are attached to this application as evidence of this engagement.
Statement Option - As the above named candidates employer or a designated and responsible agent of the
above named candidates employer or as a customer of the candidate, I confirm that the information given above
is true and correct.
Employer/Agent/Customer Signature
Date
Title / Position
NDT-III-app-PdM-BETA
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Rev 2/9/16
3.0 Penalty
Violation of this Code of Ethics by any ACCP or ASNT NDT Level
II certificate holder may be cause for disciplinary action against that
person which may result in sanctions up to revocation of ASNT
certification.
2.2 Integrity: Perform all NDT activities honestly, and treat the public,
clients and employer in an impartial and ethical manner. All reports
Signature of Applicant
Date
NDT-III-app-PdM-BETA
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Rev. 2/9/16
ASNT
1711 Arlingate Lane
P.O. Box 28518
Columbus, OH 43228-0518
USA
Fax
You may fax this application,
attachments, and fees to ASNT at:
614-274-6899
shopasnt@asnt.org
NDT-III-app-PdM-BETA
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Rev. 2/9/16
Available from The American Society for Nondestructive Testing, Inc., Columbus, OH.
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NDT-III-app-PdM-BETA
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