Professional Documents
Culture Documents
Certification Application
For ISNT, India
ASNT Identification Number:
Personal Data
Home
Work
Name
Print your name as you would like it to appear on your certificate: First, Middle or Middle Initial, Last
Home
Address
City
State/Prov.
ZIP/Postal Code
Phone
Fax
City
State/Prov.
ZIP/Postal Code
Phone
Fax
Country
Work
Organization Name
Address
Fees
Country
Save on certification fees now by becoming an ASNT member. See page 7 for all the benefits members enjoy.
Basic Examination Total
From page 2
From page 2
International Surcharge
Membership Option
$40
Total Fees
Less transfer in (if applicableinclude copy of transfer letter)
Total Due
Payment
Payment must accompany application
Check
Discover
Money Order
Visa
Funds Transfer
MasterCard
American Express
Make payable
to ASNT
(must be drawn on a
US bank)
CIN Number*
Date
*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.
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Examination Scheduling
This application is valid only for ASNT examinations held by the Indian Society for Non-Destructive Testing (ISNT).
Use the tables below to designate the examinations you would like to take. Please observe the application deadline
date for the examination location and dates you are choosing. Note: This application is valid for initial certification and
for recertification by examination. To renew without further examination (by points), you must use the ASNT Level III
Renewal Application.
Location: Mamallapuram, India
Application Deadline: June 29, 2015
Exam Dates: September 21-23, 2015
Examination Dates:
The ASNT Level III examination for each test methods will be given on only one date and time as shown in the tables below.
Candidates should identify the examinations they wish to take by checking the appropriate Member/Non-Member and New/Retake
boxes for each examination being requested and placing the appropriate fee in the far right column of the table. They must then
attend the examination on that date at that time. All examinations are conducted in the English language only.
Examination
Time
0800 - 1000
1200 - 1400
1200 - 1400
(VT) Visual
1600 - 1800
(IR) Infrared/Thermal
1600 - 1800
ASNT Members
New/Recert
$260
Non-Members**
Retake
$185
New/Recert
$335
Fee
Retake
$260
Examination
Time
0800 - 1200
(UT) Ultrasonic
1400 - 1800
ASNT Members
New/Recert
$260
Non-Members**
Retake
$185
nd
New/Recert
$335
Retake
$260
Fee
Examination
Time
0800 - 1200
(RT) Radiographic
0800 - 1200
(LT) Leak
1400 - 1800
(ET) Electromagnetic
1400 - 1800
1400 - 1800
1400 - 1800
ASNT Members
New/Recert
$260
Retake
$185
Non-Members**
New/Recert
$335
Retake
$260
Fee
**You may take advantage of ASNT Member pricing now by becoming an ASNT member or renewing your membership with this application.
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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-TC1A, 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.
Highest Level of Educational
Achievement
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
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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, 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:
1. Level of qualification or Level II job duties
2. Number of months working Level II or comparable of that of a Level II
Other supporting documents that are NOT accepted:
1. Certificate of Training /Non-employer issued qualifications
2. Level I certificates
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.
AE
__ # of months
IR
__ # of months
LT __ # of months
RT
__ # of months
ML __ # of months
VA __ # of months
ET
__ # of months
NR __ # of months
PT __ # of months
UT
__ # of months
MT __ # of months
VT
__ # of months
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 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/Supervisor (Signature)
Date
Employer/Agent/Supervisor (Print)
Job Title
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Rev. 4.23.2015
Signature of Applicant
Date
Submit Application
Mail
Mail this application with payment and
supporting documents to:
app-l3-isnt
42038175 or at asntlevel3.isnt@gmail.com
Go to www.asnt.org for information about ASNT
certification.
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Rev. 4.23.2015
2.
3.
4.
Preamble
In order to safeguard the life, health, property, and welfare of the
public, to maintain integrity and high standards of skills and
practices in the profession of nondestructive testing, the following
rules of professional conduct shall be binding upon every person
issued a certificate by ASNT as a Level III.
1.1. The Level III who holds a certificate is charged with having
knowledge of the existence of the reasonable rules and
regulations hereinafter provided for his/her conduct as ASNT
Level III, and also shall be familiar with their provisions and
understand them. Such knowledge shall encompass the
understanding that the practice of nondestructive testing
under this certification is a privilege, as opposed to a right,
and the Level III shall be forthright and candid in statements
or written responses to the Ethics Committee of the
Certification Management Board.
1.2. The Level III as referred to herein is that individual who has
been issued a certificate by the American Society for
Nondestructive Testing, Inc. pursuant to its heretofore
published requirements, rules, and procedures for such
certification. This Code of Ethics is binding upon all
individuals so certified.
Integrity
The Level III is obligated to act with complete integrity in
professional matters for each client or employer as a faithful
agent or trustee; shall be honest and impartial; and shall serve
the public, clients, and employer with devotion.
Responsibility to the Public
The Level III shall protect the safety, health, and welfare of the
public in the performance of professional duties. Should the case
arise where the Level III faces a situation where the safety,
health, and welfare of the public are not protected, he/she shall:
3.1. Apprise the proper authority if it is evident that the safety,
health, and welfare of the public are not being protected;
and
3.2. Refuse to accept responsibility for the design, report, or
statement involved; and
3.3. If necessary, sever relationship with the employer or client;
and
3.4. Undertake to perform assignments only when qualified by
training and experience in the specific technical fields
involved. In the event a question arises as to the
competence of an Level III to perform an assignment in a
field of specific discipline which cannot be otherwise
resolved to the Ethics Committees satisfaction, the Ethics
Committee, either upon request of the Level III, or by its own
volition, may require him/her to submit to an appropriate
inquiry by or on behalf of the Ethics Committee; and
3.5. Be completely objective in any professional report,
statement, or testimony, avoiding any omission which would,
or reasonably could, lead to fallacious inference, finding, or
misrepresentation; and
3.6. Express an opinion as a technical witness before any court,
commission, or other tribunal, only when such opinion is
founded upon adequate knowledge of the facts in issue,
upon a background of technical competence in the subject
matter, and upon an honest conviction of the accuracy or
propriety of the testimony.
Public Statements
4.1. The Level III will issue no statements, criticisms, or
arguments on nondestructive testing matters connected with
public policy which are inspired or paid for by an interested
party, or parties, unless he/she has prefaced the remark(s)
by explicitly identifying himself/herself, by disclosing the
identities of the party, on whose behalf he/she is speaking,
and by revealing the existence of any pecuniary interest
he/she may have in these matters.
4.2. The Level III will publicly express no opinion on a
nondestructive testing matter unless it is founded upon
app-l3-isnt
5.
6.
7.
8.
9.
Page 6 of 8
Rev. 4.23.2015
First Name
Home
M.I.
Office
Former Member:
Dues
Renewal Member
Three-Year
Five-Year
Student, One-Year
Must submit transcript or letter or enrollment
No
Membership Options
Two-Year
Yes
One-Year
Phone
New members are those joining ASNT for the first time or members having more
than a six month gap since expiration. Such rejoining members, are subject to
new member rate.
*New Member
Service included
Dues
Service included
$65
$125
$180
$290
$15
$30
$113
$209
$294
$465
$63
$78
$75
$135
$190
$300
$15
$30
$123
$219
$304
$475
$63
$78
$55
$55
$75
$129
Add a subscription to
ASNTs quarterly research
journal, RNDE.
$149
Page 7 of 8
Rev. 4.23.2015
Membership Profile
1. Year of Birth
2. Gender
Female
NDT Utilization Business
Aerospace/Aviation/Aircraft
Amusement Rides & Skiing
Automotive
Chemical & Petroleum
Construction
Commercial Labs
Infrastructure (Roads & Bridges)
Electronics
Marine
NDT Supplier Business
Consulting
Distributor/Manufacturer's
Representative
Equipment
Research
Medical
Nuclear
Optical
Ordnance
Pipeline
Pulp/Paper
Railroad
Semiconductor
Utilities
Robotics
Supplies
Training
Computer Software
Computer Hardware
Rev. 4.23.2015