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    NDT Application Form

    Uploaded by

    Ahmed Shaban Kotb
    The document is an application for NDT Level I/II training and/or certification. It requests permission to take the necessary training and examinations for certification in various NDT methods. The applicant provides personal details, education and qualification information, NDT training courses attended, NDT certificates obtained, and work experience summary detailing employers, positions held, duration of employment, and NDT methods used. The applicant certifies that the information provided is true and complete.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    NDT Application Form

    Uploaded by

    Ahmed Shaban Kotb
    220 views4 pages
    The document is an application for NDT Level I/II training and/or certification. It requests permission to take the necessary training and examinations for certification in various NDT methods. The applicant provides personal details, education and qualification information, NDT training courses attended, NDT certificates obtained, and work experience summary detailing employers, positions held, duration of employment, and NDT methods used. The applicant certifies that the information provided is true and complete.

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    The document is an application for NDT Level I/II training and/or certification. It requests permission to take the necessary training and examinations for certification in various NDT methods. The applicant provides personal details, education and qualification information, NDT training courses attended, NDT certificates obtained, and work experience summary detailing employers, positions held, duration of employment, and NDT methods used. The applicant certifies that the information provided is true and complete.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    220 views4 pages

    NDT Application Form

    Uploaded by

    Ahmed Shaban Kotb
    The document is an application for NDT Level I/II training and/or certification. It requests permission to take the necessary training and examinations for certification in various NDT methods. The applicant provides personal details, education and qualification information, NDT training courses attended, NDT certificates obtained, and work experience summary detailing employers, positions held, duration of employment, and NDT methods used. The applicant certifies that the information provided is true and complete.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    At a glance
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    The document outlines the application process for NDT level I/II training and certification including educational qualifications, training, work experience and vision requirements.

    Applicants need to submit details of their education, NDT training courses attended and certificates obtained. They also need to demonstrate at least 25% work experience in the method being tested.

    Applicants need to provide school and college education details, a summary of NDT training courses and certificates, and work experience including duration and job description.

    Application for NDT Level I /II

    Training & /or Certification

    Name (in full)


    Paste one photograph in
    this space and two additional
    Age & Date of Birth photos per method to be
    attached separately with
    the form.
    Permanent Address

    Present Office Address

    Address for Correspondence

    Contact Phone No.

    E-mail ID :

    I hereby request that I may be permitted to take the training/ examination(s) necessary as part of the
    requirements for certification in NDT Level I / II in * Radiography / Ultrasonic/ Magnetic
    Particle /Liquid Penetrant /Visual / Testing methods. as per my Experince record and qulafication
    Certifcates in NDT method(s).

    Place:

    Date:
    Name & Signature of the applicant.
    For Official Use
    PERMITTED / NOT PERMITTED

    Name & Signature.

    NDT instructor / ASNT NDT Level III


    EDUCATIONAL QUALIFICATIONS
    School Education (Give details of highest examination passed)
    Sl. School Examination passed Year
    No.
    1.
    2.

    COLLEGE EDUCATION
    Sl. College / University Course Studied Exam Passed Year
    No.
    1.
    2.

    NDT TRAINING COURSES ATTENDED


    Sl. Course Conducted by Dates Duration in hours
    No.
    1.
    2.
    3.
    4.

    Note: Please Attach Attested certificates / Photocopies for the examination passed /
    courses attended

    NDT CERTIFICATES OBTAINED (Attach photocopies of certificates)


    Sl. Method Level Dates of Issued by
    No. certificate
    1.
    2.
    3.
    4.
    .
    WORK EXPERIENCE SUMMARY
    Sl. Employers Position From To Duration Job Description
    No Name (Year/ Month) (specify also the
    Address NDT methods used)

    Total NDT experience in hours


    Total experience in the technique( )in hours
    Note: Experience may be gained simultaneously in two or more methods of NDT. Applicant must have spent at
    least 25% of the work time on the method for which training/ examination is being taken.
    PRESENT EMPLOYMENT:

    Name & Address of the Employer:

    Present Position

    Job Description

    NDT Equipment Used

    Nature of Jobs Tested

    I hereby certify that all the facts given with reference to my educational qualifications, NDT
    courses attended and to my work experience are true to the best of my knowledge and belief
    and that I have not withheld any information which might be detrimental.

    Date: Signature of the Applicant.

    It is certified that the information given by the applicant with reference to his present work
    experience is correct.

    Date: Signature of the Present


    Employer with Designation
    And with Official seal.
    Eye Fitness Certificate
    Name of the Candidate :

    Address:

    Date of Birth:

    Organisation:

    Distant Vision: Corrected / Natural

    Left Eye: Right Eye

    Near Vision: Corrected / Natural

    Left Eye: Right Eye:

    Colour Vision:

    Remarks of the Eye Specialist whether the Candidate meets the requirements of the
    standards. (Please see extract of the standards below) Yes / No.

    Signature of Eye Specialist.

    Regd. No.

    Address

    Seal

    Place:

    Date:

    Vision Requirements
    Extract from BIS Standard
    The Candidate shall provide documented evidence of satisfactory, vision, in accordance with the
    following requirements.

    a) Distant vision shall equal smaller than fraction 20/30 or better in at least one eye, either
    uncorrected or corrected.

    b) Near vision shall permit reading a minimum of Jaeger number 2 or equivalent type and size
    letters at not less than 30 cms on a standard Jaeger test chart for near vision, in at least one
    eye, corrected or uncorrected.

    c) Colour vision shall be sufficient that the candidate can distinguish and differentiate between
    the colours used in the NDT method concerned and colour vision to be tested as per
    ISHIHARAS charts.

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