NATL REGISTRATION FORM FOR ASNT NDT LEVEL III EXAMINATIONS
ASNT MEMBER
YES/NO
Membership No.
Expiry Date
1. Surname
2. Forenames
3. Date and place of birth
____________________
_____________________
_______________________
4. Employer's Address
____________________________________________________________________________
_________________________________________________
Tel. No. ________________
_________________________________________________
Fax No. ________________
5. Home Address
____________________________________________________________________________
________________________________________________
Tel. No. ________________
Please give the name and contact nos. for the company and/or person who has authorised
and/or sponsored your application and who is responsible for paying the exam fees.
Name
Signature
Date
________________________
___________________________ _________________
Address (if different from above)
___________________________________________________________________________
___________________________________________________
Tel. No. _______________
6. I wish to apply for the following exams
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Basic (must be passed before ASNT will issue an NDT Level III certificate).
PdM Basic (only available in TIR and VA)
UT - Ultrasonics
RT - Radiographic Testing
PT - Liquid Penetrant
MT - Magnetic Particle
ET - Electromagnetic Testing (Eddy Current)
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VA - Vibration Analysis
LT - Leak Testing
AE - Acoustic Emission
VT - Visual Testing
NRT - Neutron Radiography
TIR - Thermal Infrared Testing
7. Payment of Fees
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I enclose a cheque for the amount of £
Examination Account'.
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I am paying by bankers draft to NATL account no. 41723805. Sort code 60-40-09. Nat West
Chesterfield Branch, P.O. Box 13, 5 Market Place, S40 1TJ.
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See separate details for summary of the fees.
Your application cannot be processed until payment is received.
Payment by credit card cannot be accepted.
Authorisation to take the exams can only be given when the documents have been checked
and approved by ASNT.
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made payable to 'North Atlantic Section
Closing date for receipt of exam application is 12th February 2008.
No applications will be accepted after this date.
Closing date for receipt of exam application is 12th February 2008.
No applications will be accepted after this date.