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ASNT NDT Level II

Certification Application
For ISNT, India
ASNT Identification Number
If you have previously been given an ASNT identification number, please enter it in this box:

Personal Data Mail certification information to: Home Work


Mail membership material to: Home Work ___Mr ___Miss ___Mrs ___Ms
Name
Last First Middle Init.

Home
Address

City State/Prov. ZIP/Postal Code Country

Phone Fax Email

Work
Organization Name

Address

City State/Prov. ZIP/Postal Code Country

Phone Fax Email

Fees All fees are in US dollars.


Examination Total From page 2 $

International Mailing Surcharge All non-US Residents must pay a $40.00 mailing surcharge $
Take advantage of ASNT member pricing now by completing the
Membership Option membership application on pages 7 and 8 and include that total here. $

Total Fees $
Save on certification fees by becoming an ASNT member. Less transfer in (if applicable-
-$
See page 7 for all the benefits members enjoy. include copy of transfer letter)
Total Due $

Payment
Payment must accompany application Personal Credit Card Company Credit Card
Check Discover
Money Order Visa Card Holder’s Signature:

Funds Transfer MasterCard Card Holder’s Name (print):

Make the above American Express Credit Card Number:


payable to ASNT
(must be drawn Credit Card Billing Address:
on a US bank)
Expiration Date CIN* Number
*CIN (Credit Card Identification Number): Visa/MasterCard/Discover: The three-digit number is printed on the signature panel on the back of
the card following the account number. American Express: The four-digit number is printed above the account number on the front of the card.
NDT-II app - India 1 of 8 Rev. 5.11.16
Examination Information

Scheduling and Fees, Initial Certification


ASNT NDT Level II candidates applying for initial certification MUST take both the Location: India
General examination AND a General Industry Specific examination for each test method Application Deadline: June 30, 2016
in which certification is sought. You may request accommodations during testing for Exam Dates: September 15-17, 2016
special needs by contacting ASNT.
In the table below, check the boxes for the examinations you wish to take, enter the
dates and times when you wish to take those examinations and place the appropriate fee amount in the "Your Fees" column. When
finished, total your fees and place them in the Fees column on page 1 of the application.
Example:
An ASNT member wishing to be certified in MT in the General Industry Sector at an AEC would fill out the MT line as follows:
ASNT Member Non-Member* Exam Exam Time
Method Examinations Requested Your Fees
Exam Fee Exam Fee Date (AM or PM)
MT General + GI Specific Exams $260.00 $335.00 $

Examinations for only one test method may be taken in each morning or afternoon session, with a maximum of two (2)
examinations per day at a scheduled test site.

ASNT Member Non-Member* Exam Exam Time


Method Examinations Requested Your Fees
Exam Fee Exam Fee Date (AM or PM)
General + GI Specific Exams $260.00 $335.00 $
MT

General + GI Specific Exams $260.00 $335.00 $


PT

General + GI Specific Exams $260.00 $335.00 $


RT

General + GI Specific Exams $260.00 $335.00 $


UT

General + GI Specific Exams $260.00 $335.00 $


VT

Your Fee Total: $


(Place this amount in the Exam Fees block on page 1)
Retakes and Industry Sector Add-Ons
Personnel retaking failed examinations or adding an Industry Sector should select their examinations from the table below. Initial
certification candidates may NOT use this table; they should use the table above.
ASNT Member Non-Member* Exam Exam Time
Method Examinations Requested Your Fees
Exam Fee Exam Fee Date (AM or PM)
MT General Specific: GI $130.00/exam $205.00/exam $
PT General Specific: GI $130.00/exam $205.00/exam $
RT General Specific: GI $130.00/exam $205.00/exam $
UT General Specific: GI $130.00/exam $205.00/exam $
VT General Specific: GI $130.00/exam $205.00/exam $
Your Fee Total: $
(Place this amount in the Exam Fees block on page 1)
* You may take advantage of ASNT Member pricing now by becoming an ASNT member or renewing your
membership with this application. An ASNT Membership application is attached on pages 7 & 8 of this application.

NDT-II app - India 2 of 8 Rev. 5.11.16


Minimum Training Requirements
Use this table to find the minimum training required for ASNT NDT Level II certification in each method. Enter the
amount of training you are claiming to meet the requirements.

Training MT PT RT UT VT

Hours Required 20 12 80 80 24

Hours Claimed

You must attach documentation for the minimum required amount of training required. Attach copies of
training certificates, letters of completion, or company training records. A signed statement attesting to completion
of training from a company executive, an individual responsible for training, or an ASNT Level III or ACCP™
Professional Level III is also acceptable if it clearly lists training hours for each test method in which certification is
sought. All documentation must be in English or accompanied by an English translation.

Minimum Experience Requirements


The table below lists the minimum experience required for ASNT NDT Level II certification in each test method.
Enter the amount of experience you are claiming to meet the requirements. Use the next page to document the
individual positions in which experience was obtained.

Total hours in method experience shall be based on the actual hours worked in the specific method. Total hours
in method must be met for each method when applying for more than one method.

Experience MT PT RT UT VT

Total Hours 280 210 840 840 210


Hours in Method
Required
Total Hours 530 400 1600 1600 400
in NDT

Total Hours
Hours in Method
Claimed
Total Hours
in NDT

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 documentation for experience gained since the last
application.

NOTE: It is the responsibility of the employer to administer an eye test and a Practical
examination in accordance with Recommended Practice No. SNT-TC-1A to
complete certification to NDT Level II.

NDT-II app - India 3 of 8 Rev. 5.11.16


Experience
Photocopy this page as necessary to list your experience history. If submitting experience from more than one
employer, submit experience in reverse chronological order, beginning with your most recent employer in Position 1. The
ASNT NDT Level II program requires sufficient NDT experience to meet the minimum experience requirements in the
method(s) for which you are applying. Acceptable documents 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. The signature form below may be used for signed statements. All support documentation must be in
English or accompanied by an English translation.

Name
First, Middle, Last ASNT ID

Position # _____ Dates of Employment:


Start Date End Date Total Time (Months)

Organization Name

Organization Address

City State/Prov. ZIP/Postal Code Country

Phone Fax Email

Check methods below where NDT job functions were performed by the candidate named above and indicate the number
of hours claimed for each.
MT PT RT UT VT
Hours Hours Hours Hours Hours

Briefly describe below the NDT tasks the candidate named above performed at this location for each of the methods
checked. List the document(s) that are attached to this application as evidence of this engagement.

Statement Option
As the above named candidate’s employer or a designated and responsible agent of the above named candidate’s
employer or as a customer of the candidate, I confirm that the information given above is true and correct.

Employer/Agent/Customer Signature Date

Employer/Agent/Customer Name (print) ASNT ID # (if applicable)

Title

NDT-II app - India 4 of 8 Rev. 5.11.16


Code of Ethics for NDT Level II Personnel Certified by ASNT
1.0 Purpose
of NDT activities shall faithfully and accurately reflect the tests
The following Code of Ethics is binding upon every individual who conducted, procedures used, and results obtained.
possesses a current ACCP™ or ASNT NDT Level II Certification.
These rules are necessary to protect the life, health, property and 2.3 Conflict of Interest: Consciously avoid conflict of interest situations
welfare of the public, and to maintain the credibility of the ASNT with employer or client, promptly informing same if such situations
Central Certification Program, the ASNT NDT Level II program and cannot be avoided.
the NDT profession. Accordingly, each ACCP™ or ASNT NDT
2.4 Improper Conduct: Refrain from work activities outside the area of
Level II certified individual agrees to abide by the following:
certification without written approval of his/her supervisor.
2.0 Code of Ethics 2.5 Safety: Act in a safe and responsible manner while conducting
NDT activities, ensuring that all required and necessary safety
2.1 Responsibility: Protect the safety, health and welfare of the public, procedures are in place and are being used by one’s self and others
by performing all NDT activities to the best of his/her ability in under his/her jurisdiction.
accordance with properly established and approved procedures and
only in situations for which qualified. 3.0 Penalty
Violation of this Code of Ethics by any ACCP™ or ASNT NDT Level
2.2 Integrity: Perform all NDT activities honestly, and treat the public,
II certificate holder may be cause for disciplinary action against that
clients and employer in an impartial and ethical manner. All reports
person which may result in sanctions up to revocation of ASNT
certification.

Statements and Signature


By signature on this application, if certified by ASNT, I agree to abide by and any and all agents of ASNT in connection with such certification
the Code of Ethics for Level III Personnel Certified by ASNT so long as I process. I have read and understand the transfer, cancellation and
maintain a Certificate. Further, I understand the right of ASNT to refund policy and understand that all application documents submitted to
suspend or revoke any Certificate granted if I abuse the privileges ASNT become the property of ASNT.
therein granted to me.
I agree not to release confidential examination materials or participate in
I understand that certifications which may result from this application do fraudulent test-taking practices.
not constitute any form of license.
I understand that I am required to inform ASNT of matters that affect my
I hereby attest that all facts on this application are true and correct and capability to continue to fulfill the requirements of my certification(s).
no information which might be detrimental has been withheld. ASNT may Failure to do so may result in the suspension or revocation of my
make any inquiries necessary to determine my qualifications for certification(s) by ASNT.
certification. I agree to abide by the decision of ASNT relative to the
granting of any Certifications as applied for herein. I authorize ASNT to publish my name, city, state, country, test methods,
levels, expiration dates of certification(s) and any possible suspension or
For valuable consideration, the undersigned, having made application for revocation of certification(s) by ASNT.
Certification as Level III before ASNT, does hereby release and forever
discharge The American Society For Nondestructive Testing, an Ohio
Corporation, from any and all liabilities, claims, demands, or causes of
action whatsoever, which now exist or which may hereafter arise on Signature of Applicant
account of the undersigned’s activities henceforth as Level III certified by
ASNT.

The undersigned further acknowledges that this release is being given as Print Name of Applicant
a prerequisite for having filed application for consideration by ASNT.
The undersigned further represents that if not certified by ASNT, then
this release and discharge shall have no force and effect; otherwise,
upon certification as set forth above, this release shall be binding on the
Date
undersigned and The American Society for Nondestructive Testing, Inc.

Transfer / Cancellation / Refund Policy


No transfers or cancellations will be accepted after the above
All ASNT examinations are required to be taken within one
transfer deadline. Failure to show up (“No Shows”) for scheduled
calendar year from the date on the original Letter of Notification
examinations will result in forfeiture of the fees for the missed
or Letter of Approval sent to the applicant. One transfer is
examinations.
permitted within that year, subject to the administrative fees
detailed below. Failure to take examinations within that one-year
If an examination application is received and the applicant is
period will result in forfeiture of all fees to ASNT.
found to be unqualified to take the examination, a refund will be
The transfer or cancellation deadline is two (2) calendar weeks issued less an administrative fee of $75.00 PER EXAMINATION.
prior to the week of a scheduled examination. Transfers or
cancellations received before the deadline will be subject to a All requests for transfers or cancellations must be submitted in
$75.00 administrative fee PER EXAMINATION. A transferring writing to ASNT and be signed by the person registered for the
applicant must remit those administrative fees to ASNT by the examination. A signed fax transmittal is acceptable.
application deadline for the rescheduled examination. No
examination attendance will be permitted unless all fees are The International Surcharge and Membership / Administrative
paid. Canceling applicants will receive a refund less all Fees are non-refundable and non-transferable.
administrative fees.
No exceptions will be made to the above policy.

NDT-II app - India 5 of 8 Rev. 5.11.16


NDT-II app - India 6 of 8 Rev. 5.11.16
ASNT Individual Membership Application & Renewal Form
Member Information

Last Name First Name M.I. Phone

Send Membership Materials to: О Home О Office Former Member: О Yes О No

Join now for immediate and significant savings on • Access to the largest network of NDT contacts and businesses
examination fees. Save $75 per method. worldwide
• Materials Evaluation, the authoritative monthly journal on NDT
Earn recertification points for ASNT membership.
• Local Section affiliation, provides educational and business
Align with your certification period and consider joining networking opportunities
for five years to receive maximum savings. • The quarterly newsletter for NDT practitioners:
The NDT Technician
There is no better network for you to be connected when it
comes to your NDT career. • Recertification points for membership
• Discounts on national conferences and symposium
Stay informed throughout your certification period by registration
maintaining membership along with your certification.
• Members Only access at www.asnt.org provides publications
ASNT membership keeps you informed of the latest in and networking functions
technology in addition to savings on certification exams. • Serve on ASNT committees; be part of a group that may effect
change or the industry
ASNT membership includes:
• 25% discount on all items purchased from our Become part of the foremost nondestructive testing
Publications Catalog or Shop ASNT online at www.asnt.org society and be fully connected to the NDT world.
Membership Options
Renewal Member Dues New Member Dues
To qualify to pay as a renewing member, your membership expiration date must New members are those joining ASNT for the first time or members having more than a
be within six months. six month gap since expiration. Such rejoining members are subject to new member rate.

Dues *Dues with Airmail *New Member *Dues with Airmail Dues include subscriptions to
Service included Dues Service included Materials Evaluation and
Renewal Member The NDT Technician.

One-Year О $65 О $113 О $75 О $123 For members outside


North America: Unless airmail
Two-Year О $125 О $209 О $135 О $219 is specified, all materials will be
sent sea/surface mail; allow 3-4
Three-Year О $180 О $294 О $190 О $304 months for delivery.

Five-Year О $290 О $465 О $300 О $475 *Airmail service is restricted by


availability or cost; airmail may
Student, One-Year
Must submit transcript or letter or enrollment О $15 О $63 О $15 О $63 not be offered to your country.
You will be contacted if service
Military Rank E-5 or lower О $30 О $78 О $30 О $78 cannot be provided.

All pricing subject to change. New member dues include a one-time $10 administration fee

Dues are nonrefundable, nontransferable. Dues include subscription to Materials Evaluation and The NDT Technician.

Research in Nondestructive Evaluation (RNDE®) Individual Subscription


With Airmail
RNDE® is ASNT’s quarterly research journal. Service Included
Add a subscription to ASNT’s
Print Subscription - for current volume О $55 О $129 quarterly research journal,
RNDE.
Electronic Subscription - for current volume О $55
Print and Electronic Subscription - a savings of $35 О $75 О $149
All pricing subject to change.

Total Membership Amount $


Please enter total amount in membership box on page one and add to total.

Be sure to complete the questions on the next page.


Membership app Page 7 of 8 Rev. 12/15/14
Membership Profile
1. Year of Birth 9. Choose the one business segment that best
describes your company. (select only one)
2. Gender О Male О Female
NDT Utilization Business
3. Highest Education Level О Aerospace/Aviation/Aircraft О Medical
О Grades 1 - 12 О Amusement Rides & Skiing О Nuclear
О High School Diploma О Automotive О Optical
О Some College О Chemical & Petroleum О Ordnance
О 2-Year Associate Degree О Construction О Pipeline
О 4-Year Undergraduate Degree О Commercial Labs О Pulp/Paper
О Master's Degree О Infrastructure (Roads & Bridges) О Railroad
О Doctorate Degree О Electronics О Semiconductor
О Marine О Utilities
4. Years of Experience in NDT NDT Supplier Business
О1-5 О6-10 О11-15 О16-20 О21 & over О Consulting О Robotics
О Distributor/Manufacturer's О Supplies
5. Number of people involved with NDT at О Representative О Training
your company О Equipment О Computer Software
О1-5 О6-20 О21-50 О51-100 О over 100 О Research О Computer Hardware

6. Your Job Function - Choose the one that 10. Choose the primary type of NDT that you do.
best describes your role. (select only one) (select only one)
О NDT Management О Sales/Marketing О Design and Failure Analysis
О Quality Management О Researcher О Field Inspection
О Engineer О Academic/Educator О Incoming Inspection
О Technician/Inspector О Trainer/Instructor О In-service, Plant/Operation Maintenance & Process Control
О Consultant О Student О Product Life Extension
О QA/QC Reliability
О None of the above
7. Purchasing Responsibility
(select all that apply) 11. Highest Level of NDT qualification
I recommend/approve the purchase of: (select only one)
О Equipment/Instruments/Supplies О None О ASNT NDT Level II
О Training & Study Materials/Programs О Level I О ASNT NDT Level III
О Services О Level II О ACCP Level II
О I am not involved in purchasing О Level III О ACCP Level III
О IRRSP
8. With which NDT method(s) do you work?
(select all that apply)
О Acoustic Emission О Magnetic Flux Leakage
О Alternating Current Field Measurement О Magnetic Particle
О Electromagnetic/Eddy Current О Neutron Radiography
О Ground Penetrating Radar О Radiography
О Infrared & Thermal О Ultrasonics
О Laser О Vibration Analysis
О Leak О Visual
О Liquid Penetrant

For Questions Contact the Membership Department at:


Phone 614.274.6003 Toll Free 800.222.2768 (US/Canada)

NDT-II app 8 of 8 Rev. 12/15/14

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