TRUNG TM NH GI KHNG PH HY

CENTER FOR NON DESTRUCTIVE EVALUATION

140 Nguyn Tun , Qun Thanh Xun , H Ni Tel: 043 5577881-112

H Ch Minh, ngy 04 thng 03 nm 2017

PHIU NG K V XC NHN THAM D

KHO O TO, NH GI V CP CHNG CH NDT
1. H tn:
2. Nm sinh:
3. n v cng tc:
- Tn Ting Vit:
- Tn Ting Anh:
4. a ch:
5. in thoi: Fax: .......................... E-mail:
6. Trnh vn ho
7. V tr, chc trch cng tc: Chuyn Vin
8. Lnh vc, cng nghip p dng kim tra NDT: C th chn nhiu hn 01
Du kh Sn xut Nng lng Ch to l hi, bnh p lc Ch to thit b, kt cu c kh

Tu thy Vn hnh - Bo dng NDT Chuyn nghip Gim nh-ng kim

Qun l Gio dc o to Thng mi t Qun s Khc

9. Kha o to tham gia v chng ch NDT khc: Khng

10. Kinh nghim trong phng php NDT ng k : ...... thng hoc ................gi
Kinh nghim trong cc phng php NDT khc : ...... thng hoc ................gi
11. ng k tham d kho o to nh gi v cp chng ch ban u cho phng php NDT v bc trnh sau:

ngh nh du vo (cc) tng ng. Nu yu cu gia hn chng ch, ngh vit thm ch R bn cnh
Bc Phng php UT RT RI MT PT ET VT
I
II
III

12. Cc phng php khc: PMI UTM WI

13. K hiu phng php kim tra: UT: siu m, RT: chp nh phng x, RI: gii on nh chp bc x,
MT: ht t, PT: thm lng, ET: in t, VT: trc quan, PMI: phn tch vt liu, WI: gim nh hn

NGI NG K C QUAN CH QUN

(k tn) (xc nhn)

NDE-TR-P01/F02
NDE-TR-P01/F02