NEW-COPY FOR WRITABLE FORM510_NEWCERTAPP_2013_FINAL_7-18-12.DOCX 1 API 510 Pressure Vessel Inspector Certification Program Application Instructions 1. This application is a writable PDF. BE SURE to download the document and save it on your computer, before filling it out. Open the saved application, type in your information, and print the application forms to be mailed to API. (Any application filled in while viewing it online will not be saved, nor will it be sent to API electronically.) All original applications must be mailed to API. 2. Fill out all pages of this application completely. 3. Please enter your name as it appears in your govt.-issued ID / passport / driver’s license. 4. If you have previously applied to API and been assigned an API ID number, include it every place that your name appears. 5. Be sure to include a unique and current e-mail address. All API correspondence including your admission letter and exam score report will be sent to the e-mail address you provide. 6. Make note of the applicable documents to study as listed on the Publications Effectivity Sheet. The publications for ICP certification exams may be ordered through TechStreet (www.techstreet.com) or IHS (www.global.ihs.com). See pages 16 and 17 for important information regarding exam publications. 7. You must include a verified Employment Reference Form (ERF). The ERF may be validated either by a public notary or by your employer. See Page 7 for full instructions. 8. Read and sign BOTH Inspector Agreements 9. Include the certification fee. See Page 2 for ICP Financial Policies. We will not process any application until full payment is received. 10. Be sure to keep a copy of the completed application that you mail to API, including copies of your ERF, diplomas, employer letter, etc. 11. When you have completed your application see checklist at the back of this packet to ensure you have included all the information and documents necessary. INFORMATION FOR THE DAY OF THE EXAM: You are allowed to have only the following in the test room: API permitted test reference materials, sharpened No. 2 pencils, an eraser and a calculator (simple function only, non- programmable). Anything else could be confiscated by the test staff. Any additions to the reference materials are not allowed. This includes training materials, any pages inserted in your codebooks, preprinted and inserted labels, and handwriting in the blank/half-blank pages of the codebooks. Small notes in the margins are permitted. API and ASME publications are copyrighted material. Making copies of the publications is illegal. If the proctors determine that your documents are illegal copies, the documents will be confiscated.
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NEW-COPY FOR WRITABLE FORM510_NEWCERTAPP_2013_FINAL_7-18-12.DOCX 1
API 510 Pressure Vessel Inspector
Certification Program
Application Instructions
1. This application is a writable PDF. BE SURE to download the document and save it on your computer, before filling it out. Open the saved application, type in your information, and print the application forms to be mailed to API. (Any application filled in while viewing it online will not be saved, nor will it be sent to API electronically.) All original applications must be mailed to API.
2. Fill out all pages of this application completely.
3. Please enter your name as it appears in your govt.-issued ID / passport / driver’s license.
4. If you have previously applied to API and been assigned an API ID number, include it every
place that your name appears.
5. Be sure to include a unique and current e-mail address. All API correspondence including your admission letter and exam score report will be sent to the e-mail address you provide.
6. Make note of the applicable documents to study as listed on the Publications Effectivity
Sheet. The publications for ICP certification exams may be ordered through TechStreet (www.techstreet.com) or IHS (www.global.ihs.com). See pages 16 and 17 for important information regarding exam publications.
7. You must include a verified Employment Reference Form (ERF). The ERF may be validated
either by a public notary or by your employer. See Page 7 for full instructions.
8. Read and sign BOTH Inspector Agreements
9. Include the certification fee. See Page 2 for ICP Financial Policies. We will not process any application until full payment is received.
10. Be sure to keep a copy of the completed application that you mail to API, including copies of
your ERF, diplomas, employer letter, etc.
11. When you have completed your application see checklist at the back of this packet to ensure you have included all the information and documents necessary.
INFORMATION FOR THE DAY OF THE EXAM:
You are allowed to have only the following in the test room: API permitted test reference materials, sharpened No. 2 pencils, an eraser and a calculator (simple function only, non-programmable). Anything else could be confiscated by the test staff.
Any additions to the reference materials are not allowed. This includes training materials, any pages inserted in your codebooks, preprinted and inserted labels, and handwriting in the blank/half-blank pages of the codebooks. Small notes in the margins are permitted.
API and ASME publications are copyrighted material. Making copies of the publications is illegal. If the proctors determine that your documents are illegal copies, the documents will be confiscated.
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ICP FINANCIAL POLICIES
Payment Policy API cannot process any application until full payment is received. No exceptions will be made under any circumstances. Candidates WILL NOT BE PERMITTED TO TAKE AN ICP EXAMINATION if payment has not been received AND processed by API. Proof of payment must be included with your application.
API must RECEIVE your ORIGINAL application by mail on or before the application deadline.
All payments must be made in United States currency. Paying by credit card provides the best opportunity to ensure that payment is received
and processed by API in the timeliest manner.
Checks must be drawn from a US bank. You are responsible for all taxes, banking or other service fees, including all applicable withholding taxes.
If your company is going to pay the fee make sure they know the deadline and allow
plenty of time for the company to make payment.
If paying by wire transfer please submit a copy of the electronic transaction document with your application. The applicant’s name MUST be included on the wire transaction document. If the copy is not included with the application please e-mail a copy to [email protected] as soon as possible to allow time to identify the payment and schedule you for the exam.
Refund Policy
All requests for refunds must be submitted to API in writing by mail, e-mail or fax
and requested within 6 months of the date of the payment.
For refund requests made before the application deadline:
API will refund the initial certification fee less $100.00 for processing.
For refund requests made after the application deadline:
API will refund 50% of the initial certification fee. Reschedule fees are non-
refundable.
For refund requests made after the date of your examination:
No refunds will be issued whether you took the examination or not.
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Application Form – Basic Information
API 510, Pressure Vessel Inspector Certification Program
New – API Exam EXAM ID #
(if previously assigned)
New – National Board (Must include proof of passing an NBIC examination)
___________________________________________________________________________________________ FIRST MIDDLE LAST NAME (please spell it the same way as it appears on your passport / driver’s license)
Home Address (Number and Street) Date of Birth (Month / Day / Year)
City, State and Zip or Postal Code Home Telephone Number
Country Personal Email (At least one UNIQUE E-MAIL REQUIRED)
Employer Data Work Telephone Number
Employer Business Email (Unique e-mail – not shared)
Employer’s Address (P.O. Box or Number and Street)
Cell Phone Number
City, State and Zip or Postal Code If you want your exam admission letter / score report to be sent to your employer, trainer, or exam organizer, please include this person’s e-mail here:
Country Group Contact E-mail
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Additional Information
API 510, Pressure Vessel Inspector Certification Program
1. Mailing and Directory Addresses -- Please check the appropriate boxes regarding your preference for mailing and directory addresses. Please be sure to check one box only for each question.
At which address do you wish to receive your certificate? Home Work
Are you interested in being included in the on-line API Inspector
Directory, when you obtain your certification?
Yes
No
Which address do you want shown in the ICP Directory listing? Home Work
2. Do you currently have an active API certification? Yes No
If yes, enter your certification number and expiration date. If you
answer yes, you need not complete the Education and Training Form.
Program / Certification Number Expiration Date
Program / Certification Number Expiration Date
Program / Certification Number Expiration Date
3. Are you currently a full-time, non-contract employee of an API member company?
Yes No
If yes, please enter the company name.
4. Please check the boxes that correctly describe your organization. Please be sure to check one box on each side.
Industry Organization type
PETROLEUM OWNER-USER
CHEMICAL INDIVIDUAL CONTRACTOR
PAPER/PULP INSPECTION COMPANY
SERVING ALL INDUSTRIES CONSULTING/CONSTRUCTION
OTHER OTHER
5. Please check the boxes that correctly describe your employment status. Please be sure to check one box only.
Full-time employee of an owner/user
Full-time employee of an inspection agency/other company
Independent contractor
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Education and Training
API 510, Pressure Vessel Inspector Certification Program
Please attach copies of your school / university diplomas.
High School / Secondary School
Name Location Year Graduated
Name Location Year Graduated
Trade / Vocational School
Name Duration of Studies Field of Study Year Graduated
Name Duration of Studies Field of Study Year Graduated
Name Duration of Studies Field of Study Year Graduated
College / University
Name Duration of Studies Major Degree Type Dates Attended
Name Duration of Studies Major Degree Type Dates Attended
Name Duration of Studies Major Degree Type Dates Attended
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Employment History
API 510, Pressure Vessel Inspector Certification Program
(Must list last three employers to cover at least the last five years of employment)
1. Name and Address of Employer (Current) Date of Employment
Employer From:
____________________
Mailing Address (Number and Street) To:
____________________
City, State and Zip Code ____________________
Employer’s Telephone
Job Title / Detailed Description of Responsibilities
2. Name and Address of Employer Date of Employment
Employer From:
____________________
Mailing Address (Number and Street) To:
____________________
City, State and Zip Code ____________________
Employer’s Telephone
Job Title / Detailed Description of Responsibilities
3. Name and Address of Employer Date of Employment
Employer From:
____________________
Mailing Address (Number and Street) To:
____________________
City, State and Zip Code ____________________
Employer’s Telephone
Job Title / Detailed Description of Responsibilities
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Verification Requirements for
Employment Reference Forms (ERF)
All paperwork documenting the applicant’s work experience MUST be original documents. Photocopied, scanned, or faxed documents will not be processed. The Employment Reference Form attached to this application must verify the required length of experience based on your level of education. This experience must have been acquired within the last 10 years. Please make copies of the ERF and provide one form for each employer if it is necessary to meet the requirements.
API requires that the supervisor signs any ERF that is submitted. Supervisors may only sign for the experience acquired while at their company. This signature must be validated by a notary public, Commissioner of Oaths or similarly licensed official. API requires proof of the validating authority such as a notary stamp, a copy of the license, etc.
Alternative Method of ERF Verification If a notary is not available in your country then ALL THREE OF THE FOLLOWING REQUIREMENTS MUST BE MET to complete and verify the documentation of your employment:
1. The ERF must be signed by a supervisor.
2. The ERF must be stamped with a company stamp instead of the notary stamp
3. In addition to the ERF the applicant must provide an “employment confirmation
letter”. This letter must be submitted on company letterhead, and signed by an
individual other than your supervisor - a higher company official such as
department manager, director, vice-president. The letter must confirm that the
applicant is employed in an inspector capacity and include a detailed description of
the job responsibilities.
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Employment Reference Form (ERF)
API 510, Pressure Vessel Inspector Certification Program
Applicant’s Full Name:
API ID (if known)
Company:
Name of Supervisor (please print) Title
Supervisor’s E-mail Supervisor’s Phone Number
Affirms that
Name of Applicant
Worked for
Company
from Beginning Date
to Ending Date
SUPERVISORS: Please fill in the blanks below. Your signature on this page validates that while working for your company and during the period indicated above the applicant has acquired the following experience:
This box must be completed. Please fill in all that applies for the employer listed above.
Activity Dates Length of Experience With This Employer
INSPECTION of Pressure Vessels From ______________To___________________
Design of Pressure Vessels From _____________To___________________
Construction of Pressure Vessels From _____________To___________________
Operation of Pressure Vessels From _____________To___________________
Repair of Pressure Vessels From ______________To___________________
ALL APPLICANTS MUST HAVE THE AREA BELOW COMPLETED AND VALIDATED
SUPERVISOR’S NAME (PLEASE PRINT) __________________________________
API member rate applies to full-time, non-contract employees of API-member companies.
API Member Non Member
$600.00
$800.00
PAYMENT INSTRUCTIONS All payments must be made in United States currency.
Checks must be drawn on a U.S. bank. You are responsible for all taxes, banking or other service fees, including all applicable withholding taxes. Applicant’s name(s) must be included on the check.
For payments by electronic transfer: (1) you are responsible for all electronic transfer, A.C.H. and banking fees (be sure to add the fees to your payment); (2) for electronic payments not drawn on a U.S. bank a fifty-dollar ($50) handling fee must be added at the time payment is made.
Please include a copy of the wire / electronic transaction. Applicant’s name(s) must be included on the transaction document.
PAYING BY CREDIT CARD CAN EXPEDITE THE PROCESSING OF YOUR APPLICATION AND
PAYMENT TO ENSURE YOUR PLACE IN THE EXAMINATION.
Credit Card Type: Visa American Express MasterCard
a) Company subscription ID ___________________________________________________
Note: Companies with an API subscription may print the relevant ICP documents for their employees only. Exam attendees are not allowed to bring in subscription documents from companies other than their own. Such documents may be confiscated during the exams.
b) Receipt or invoice number __________________________________________________
c) If other, please include how publications were acquired __________________________
COPYRIGHT NOTICE TO ALL ICP EXAM CANDIDATES: Please be reminded that API and ASME documents and publications are copyrighted materials. Reproducing these documents without API permission is illegal. Due to the heightened use of illegal copies, API will be conducting random audits at various exam sites. If API determines that your exam materials are illegal copies, the documents will be confiscated from you prior to the exam.
Please ensure you obtain legal copies from one of API’s authorized redistributors:
* API members are eligible for a 30% discount on all API documents; exam candidates are eligible for a 20% discount on all API documents. When calling to order, please identify yourself as an exam candidate and/or API member. Prices quoted will reflect the applicable discounts. No discounts can be made for ASME documents.
If you have questions regarding the authenticity of your documents, please contact API. If you know of any training company or organization distributing unauthorized copies of ICP exam materials, please contact API immediately with this information.
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API 510 Exam Publications Effectivity Sheet
FOR: December 5, 2012 and June 5, 2013 and September 25, 2013
Listed below are the effective editions of the publications required for this exam for the date(s) shown above.
Please be advised that API and ASME documents and publications are copyrighted materials.
Reproducing these documents without API permission is illegal. If exam proctors determine that your
documents are illegal copies, the illegal documents will be confiscated from you prior to the exam.
API Standard 510, Pressure Vessel Inspection Code: Maintenance Inspection, Rating, Repair, and Alteration,
9th Edition, June 2006.
API Recommended Practice 571, Damage Mechanisms Affecting Fixed Equipment in the Refining Industry,
2nd EDITION, April 2011.
ATTENTION: Only the following sections / mechanisms from RP 571 are included on the exam:
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CHECKLIST
1. All pages of the application completed
2. Valid e-mail address included so we can contact you
3. All copies of diplomas attached
4. ERF has a notary or company stamp
5. Employment letter attached, if necessary
6. Foreign Language Waiver signed, if necessary
7. BOTH Inspector Agreement forms signed
8. Publications Questionnaire completed
9. Certification Fee (payment page filled in completely)
10. Copy of transaction documentation if paying by wire
11. Copy of completed application made for your records
IF PAYING BY CREDIT CARD, MAIL ORIGINAL APPLICATION TO: API Individual Certification Programs 1220 L Street, NW Washington DC 20005 (Phone: 202-682-8064) Please include candidate’s name(s) on all payments.
IF PAYING BY CHECK OR MONEY ORDER, MAIL ORIGINAL APPLICATION TO:
API Individual Certification Programs P.O. Box 1425 Merrifield, VA 22116
Note: Couriers do NOT deliver to a P.O. Box. TO SEND ORIGINAL APPLICATIONS AND CHECKS BY COURIER: PLEASE ADDRESS PACKAGE TO:
API Attn: John Robertson 1220 L Street, NW Washington, DC 20005 Phone 202-682-8064
ALL CUSTOMER SERVICE INQUIRIES MUST BE DIRECTED TO: [email protected]