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Power Engineers Exam Application

This document is an application for the Power Engineers Examination. It requests information from the applicant such as name, address, phone number, email, exam details, and payment. The applicant must submit the application a minimum of 21 days before the exam date and sign to acknowledge the ban on programmable calculators during the exam. A non-refundable fee is required to schedule each exam paper.

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jeas grejoy andrews
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127 views1 page

Power Engineers Exam Application

This document is an application for the Power Engineers Examination. It requests information from the applicant such as name, address, phone number, email, exam details, and payment. The applicant must submit the application a minimum of 21 days before the exam date and sign to acknowledge the ban on programmable calculators during the exam. A non-refundable fee is required to schedule each exam paper.

Uploaded by

jeas grejoy andrews
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR POWER

ENGINEERS EXAMINATION
AB-66 2018-05

To be Completed by Applicant (Please Print): File No:


(for previous applicants only)

Mr. Mrs. Ms. Date of Birth:


(Lastname) (Firstname) (Middle Initial) (yyyy/mmm/dd)

Mailing Address:
(Apt./Street) (City) (Prov) (Postal Code)

Phone No.: Phone No.: Cell No.:


(Home) (Work)

E Mail Address:
Indicate below the examination you are applying to write:
Part A Part B Other:
Paper Paper Special Boiler Operator (SBO) (Also submit AB-66a)
Class 1 2 3 4 1 2 3 4 Steam Traction (Written)
Rev. 1st Steam Traction (Practical/Renewal)
Rev 2nd Fired Process Heater Operator
3rd
4th Special Oilwell (SOW) use form AB-144
Upgrade Exams and Reinstatement Exams use form AB-66c
5th

Indicate the location and month you wish to write the exam. Please indicate 1 st and 2nd choice:

Edmonton Fort McMurray Calgary Red Deer Lethbridge Medicine Hat Grande Prairie

January February March April May June


July August September October November December
Note: Available places are allocated on a first come basis, therefore you may not be guaranteed the date(s) of your choice.

APPLICATION MUST BE SUBMITTED A MINIMUM OF 21 DAYS PRIOR TO EXAMINATION DATE.


Effective October 1, 2017, the use of programmable calculators will no longer be permitted in examination sittings.
By your signature, you acknowledged the above statement.

Signature of Applicant: Date:


yyyy/mmm/dd

Caution: Certificate issued may be cancelled or suspended for false statements or documentation included in this application.
A non-refundable/non-transferable scheduling fee of $97.00 per paper is required with this application. NSF cheques subject to a $25
charge. Please fax, e-mail or mail application with payment. Please do not do both. Payment can not be made by phone.

Cheque payable to: *Debit Visa not


Amount: Cash , Cheque , MC , Visa , AMEX accepted.

ABSA, the pressure equipment safety authority Cardholder Name:


th
9410 – 20 Avenue
Card Number:
Edmonton, AB T6N 0A4
Phone (780) 437-9100 Fax (780) 437-7787
Expiry Date: ABSA Use only
Exams Toll Free Line - 1-888-454-3926 Auth. #

www.absa.ca
Cardholder
email to: exams@absa.ca Signature:

The information you provide on this form is necessary for the administration of the
Power Engineers Regulation under the Safety Codes Act.

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