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Pressure Equipment Inspector (PEI) Application

For help with this form, please email jbock@nationalboard.org.


EXAMINATION / TRAINING




PERSONAL CONTACT INFORMATION
* Name of Applicant:
* Country:
* Address:
(Residence)
Address 2:
* City:
* State:
* Postal Code:
* Phone:
* Email:
* Date of Birth:
(mm/dd/yyyy)



Inactive National Board Commission Number ONLY: 

NOTE: The Pressure Equipment Inspector Certification is not open to individuals holding a current National Board Commission.



CERTIFICATION AGREEMENT

* I, the undersigned Applicant, certify that I have read and fully comprehend this Agreement in its entirety and agree to comply with the terms and conditions specified above.

 

Name of Applicant: Email:
* Signature of Applicant: Date:

By typing my name in the box above I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my application and information.


EXPERIENCE
The applicant must document three (3) years of qualifying work experience which includes design, construction, manufacturing, repair, quality control, nondestructive examination operation or inspection of boilers/pressure vessels or piping.  Please provide work activity information below that will verify the three (3) year experience requirement has been met.

#CompanyContact NameContact EmailContact PhoneDates WorkedDescription 
1
        

* Please describe your job responsibilities in more detail :


* I,  the undersigned Applicant, certify that I have at least three years of qualifying experience.

* Years of experience:

Please make sure you have met all of the requirements of NB-438 and they are correctly documented above.  If we cannot verify all information, you will not receive a PEI certification and the $45 fee will be forfeited.



Click the "Browse" button and find the photo on your computer that you wish to use for the CI card. Click "Continue to Payment" to send the file to our server and continue to the payment section.  


Your photo must be in .jpg or .bmp file format; in color; taken within the last six (6) months; be a clear image of you (not blurry, grainy, or fuzzy) against a plain background; and a head and shoulders shot of only you directly facing the camera.





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