Documente Academic
Documente Profesional
Documente Cultură
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/customer, 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.
VIKAS CHANDRA
Name__________________________________________________________________________
First, Middle, Last
ASNT ID
Position # NDT-Technician
Dates of Employment
JUNE-2012
Start Date
NOV-2014
End Date
30 MONTHS
Organization Name
Organization Address
NAVI MUMBAI
+91-2227706055
City
MAHARSTRA
State/Prov.
+91-2227713643
Phone
INDIA
400706
ZIP/Postal Code
Country
smartndt@vsnl.com
Fax
Verify experience (write # of months performing work with Level II qualifications) by method as related to above employer.
AE
__ # of months
ET
__ # of months
30
__ # of months
LT __ # of months
RT
30
__ # of months
ML __ # of months
VA __ # of months
NR __ # of months
PT 30
__ # of months
UT
__ # of months
30
MT 30
__ # of months
VT
IR
__ # 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.
Todays Date
Rev. 1.20.2016