Asnt NDT Level Ii Certification Application: ASNT Identification Number Personal Data
Asnt NDT Level Ii Certification Application: ASNT Identification Number Personal Data
Certification Application
ASNT Identification Number
If you have previously been given an ASNT identification number, please enter it in this box:
Personal Data
Hom e
Work
Hom e
Work
__ Mr _ _Miss __ Mrs
Ms
Name
Print your name as it appears on your identification.
Home
Address
City
State/Prov.
Phone
Fax
ZIP/Postal Code
Country
ZIP/Postal Code
Country
Work
Organization Name
Address
City
State/Prov.
Phone
Fax
From page 2
Membership Option
Total Due
Payment
Payment must accompany application
Check
Money Order
Discover
Visa
Funds Transfer
MasterCard
American Express
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.
Schedule Exams
Domestically, all exams will be c o m p u t e r b a s e d u n l e s s o t h e r w i s e s p e c i f i e d . After you have been approved, paid all application
and exam sitting fees, you will receive email notification and instructions to schedule you exam. Examination sitting Fees are now collected with the
application instead at the time of scheduling.
To apply for an exam to be taken outside the United States, enter the date and time when youd like to take the exam.
Exam dates are listed in the ASNT Examination Schedule. Only one examination may be taken in a session. You may take a maximum
of two (2) examinations per day at a scheduled test site.
Check a box indicating if this is a new or added method, a retake of an exam that you failed within the last five years, or a
recertification exam if you are currently certified in the method. You may request accommodations during testing for special needs by
contacting ASNT.
ASNT
Members
NonMembers**
New
New
$260
$335
Exam Sitting
Fee
MT General Industry
MT-Pressure Equipment
$300
PT General Industry
$300
$300
$300
RT Pressure Equipment
$300
UT General Industry
$300
$300
$300
VT-Pressure Equipment
$300
Enter Location
(if taking outside the US)
$300
Total
Total Fee
(include sitting fee if
taking at US location)
Method (Includes
both General and
Specific exams)
MT General
MT PE
MT GI
PT General
PT PE
S
ifi
PT GI
RT General
RT PE
RT GI
UT General
UT PE
UT GI
VT General
VT PE
VT GI
ASNT Members
Non-Members**
Retake
Retake
$130
$175
Exam
Sitting Fee
Enter Location
(if taking outside the US )
$150
$150
$150
$150
$150
$150
$150
$150
$150
$150
$150
$150
$150
$150
$150
Total
* You may take advantage of ASNT Member pricing now by becoming an ASNT member or renewing your
with this application. An ASNT Membership application is attached on pages 7 & 8 of this application.
membership
Total Fee
(include sitting fee if
taking at US location)
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.
Experience
Total Hours
Hours
Required
in Method
Total Hours
in NDT
MT
PT
RT
UT
VT
280
210
840
840
210
530
400
1600
1600
400
Total Hours
Hours
Claimed
in Method
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.
Experience
List in chronological order all employment you wish ASNT to consider as qualifying experience with most recent (including
present employer) position first. Use a separate form for each employer from which you are submitting qualifying
experience.
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
Organization Name
Organization Address
City
State/Prov.
ZIP/Postal Code
Phone
Fax
Country
Check methods below where NDT job functions were performed by the candidate named above and indicate the number
of hours claimed for each.
MT
Hours
PT
Hours
RT
Hours
UT
Hours
VT
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 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
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
and any and all agents of ASNT in connection with such certification
process. I have read and understand the transfer, cancellation and
refund policy and understand that all application documents submitted to
ASNT become the property of ASNT.
I agree not to release confidential examination materials or participate in
fraudulent test-taking practices.
I understand that I am required to inform ASNT of matters that affect my
capability to continue to fulfill the requirements of my certification(s).
Failure to do so may result in the suspension or revocation of my
certification(s) by ASNT.
I authorize ASNT to publish my name, city, state, country, test methods,
levels, expiration dates of certification(s) and any possible suspension or
revocation of certification(s) by ASNT.
Signature of Applicant
Date
Surcharge
and
Membership
/ Administrative
Submit Application
Online: Submit your documentation and fees securely on ASNT Website
https://www.asnt.org/MajorSiteSections/Certification/AppStart?pt=n2&st=new
(Online submittal- fees pay be credit card, check or wire)
Fax or E-Mail
Or, if paying by credit card, you may fax this application, attachments, and fees to ASNT at:
ASNT
1711 Arlingate Lane
P.O. Box 28518 Columbus, OH 43228-0518 US
Make checks payable to ASNT.
Please do not both mail and fax your application.
First Name
Home
M.I.
Former Member:
Office
Phone
Yes
No
Membership Options
Renewal Member Dues
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.
Dues
*New Member
Service included
Dues
Service included
Renewal Member
One-Year
Two-Year
Three-Year
Five-Year
Student, One-Year
Must submit transcript or letter or en rollment
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$65
$125
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$290
$15
$30
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$113
$209
$294
$465
$63
$78
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$75
$135
$190
$300
$15
$30
$123
$219
$304
$475
$63
$78
0 $55
0 $55
0 $75
0 $129
0 $149
Membership Profile
1. Year of Birth
2. Gender
0 Female
NDT Utilization Business
0 Aerospace/Aviation/Aircraft
0 Amusement Rides & Skiing
0 Automotive
0 Chemical & Petroleum
0 Construction
0 Commercial Labs
0 Infrastructure (Roads & Bridges)
0 Electronics
0 Marine
01-5 06-10
011-15
016-20
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01-5 06-20
021-50
051-100
0 over 100
Distributor/Manufacturer's
Representative
Equipment
Research
0
0
0
0
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Medical
Nuclear
Optical
Ordnance
Pipeline
Pulp/Paper
Railroad
Semiconductor
Utilities
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Robotics
Supplies
Training
Computer Software
Computer Hardware