api 510 application

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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 10/ passport / driver's license. 4. If you have previously applied to API and been assigned an API 10 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. NEW-COPY FOR WRlTABLE FORM5 10_NEWCERTAPP_2013JINAL_7-J8-J2.00cX

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  • 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 10/ passport / driver's license.

    4. If you have previously applied to API and been assigned an API 10 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, nonprogrammable) . 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.

    NEW-COPY FOR WRlTABLE FORM510_NEWCERTAPP_2013JINAL_7-J8-J2.00cX

  • 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.

    NEW-COPY FOR WRITABLE FORM510_NEWCERTAPP_2013JINAL_7-18-12.DOCX 2

  • Application Form - Basic Information

    API 510, Pressure Vessel Inspector Certification Program

    [2] New - API Exam EXAM ID # (if previously assigned)D New - National Board (Must include proof of passing an NBIC examination)

    AI-IMED IFAHEEM IYOUSAFI

    FIRST MIDDLE .- . LAST .

    NAME (please spell it the same way as it appears on your passport / driver's license) .

    House No. 223, Street No. 29, 19/1 Home Address (Number and Street)

    Islamabad City, State and Zip or Postal Code

    Pakistan Country

    Employer Data

    Velosi Integrity & Safety Pakistan Employer

    Plot# 45, Street# 10, 1-9/2, Industrial Area Employer's Address (P.O. Box or Number and Street)

    Islamabad City, State and Zip or Postal Code

    Pakistan Country

    10/12/1989

    Date of Birtl:l (Month I Day I Year)

    '.' .

    0092-41-3423183 Home Telephone Number

    [email protected] Personal Email

    (At least one UNIQUE E-MAIL REQUIRED)

    0092-51-4431282

    Work Telephone Number

    [email protected] Business Email (Unique e-mail - not shared)

    0092-334-7923635 Cell Phone Number

    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:

    Group Contact E-mail

    NEWCOPY FOR WRITABLE FORM510_NEWCERTAPP_2013JINAL_7-18-12.DOCX 3

  • 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[{] ' "" I Work Are you interested in being included in the on-line API Inspector Yes DNo[2]Directol)', when you obtain your certification? Which address do you want shown in the ICP Directory listing? [2] Home D Work

    2. Do you currently have an active API certification? DYes Ifyes, enter your certification number and expiration date. Ifyou

    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 DYes an API member company?

    Ifyes, 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-USERD D CHEMICAL INDIVIDUAL CONTRACTORD D

    D PAPER/PULP [{] INSPECTION COMPANY

    SERVING ALL INDUSTRIES CONSULTING/CONSTRUCTION[l] D OTHER OTHERD D

    5. Please check the boxes that correctly describe your employment status. Please be sure to check one box only.

    I mml Full-time employee of an owner/user

    1./ I Full-time employee of an inspection agency/other company

    D Independent contractor

    NEW-COPY FOR WRITABLE FORMS 1 O_NEWCERTAPP_20 1 3JINAL_7-1 8-12.DOCX 4

  • Education and Training

    API 510, Pressure Vessel Inspector Certification Program Please attach copies ofyour school! university diplomas. High School/Secondary School

    New Afaq Higher Secondary School Samundri, Pakistan 2004 Name Location Year Graduated

    Name Location

    Trade / Vocational School Government College Of Science, Faisalabad 2 Years Pre-Engineering Name Duration of Studies Field of Study

    Name Duration ofStudies Field of Study

    Name Duration of Studies

    College / University University of Engineering & Technology, Lahore 4 Years Name Duration of Studies

    Name Duration of Studies

    Name Duration of Studies

    Field of Study

    Materials Engineering B.Sc Engineering

    Major Degree Type

    Major Degree Type

    Major Degree Type

    Year Graduated

    2006 Year Graduated

    Year Graduated

    Year Graduated

    2006-2010 Dates Attended

    Dates Attended

    Dates Attended

    NEW-COPY FOR WRITABLE FORM510_NEWCERTAPP _2013]INAL_7-18-12.DOCX 5

  • 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)

    Velosi Integrity & Safety, Pakistan Employer Plot# 45, Street# 10, 1-9/2, Industrial Area Mailing Address (Number and Street) Islamabad, Pakistan City, State and Zip Code

    Job Title I Detailed Description of Responsibilities

    Inspection Engineer

    2. Name and Address of Employer

    Fauz Engineering Employer Sikka Street, 8-Km Raiwand Road Mailing Address (Number and Street) Lahore Pakistan City, State and Zip Code

    Job Title I Detailed Description of Responsibilities

    QNQC Engineer

    Date of Employment

    From: 24-Jan-2012

    To: Date

    0092 -51-4431282 Employer's Telephone

    Date of Employment

    From: November 201 0

    To: December 2011

    0092-4235323166 Employer's Telephone

    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 I Detailed Description of Responsibilities

    NEW-COPY FOR WRITABLE FORM510_NEWCERTAPP_2013JINAL_7-18-12.DOCX 6

  • 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.

    NEW-COPY FOR WRITABLE FORM510_NEWCERTAPP_2013JINAL_7-18-12.DOCX 7

  • Employment Reference Form (ERF)

    API 510, Pressure Vessel Inspector Certification Program

    AHMED FAHEEM YOUSAFI Appli cant ' s Full Name:

    N/AAPI ID (if known)

    Velosi Integrity & Safety, Pakistan Company:

    Rana Ahsan Anwar Name of Supervisor (please print)

    Sr. Inspection Engineer (API-510, API-653, API-571 Title

    rana.anwar@applusvelosi .com --------~~----------Supervisor's E-mail ----------------

    0092-323-56Supervisor's

    80377 Phone Number

    Affirms that I\\\MtD Name of Applica

    f "!\~,f(v\ nt

    y~ U)Afr Worked for V'f,LDSf. Jf.J';f.JnP--J,TY;' JIs~ r;TY fAkJ,STI'''' Company )

    ITom 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 emp/over listed above

    Activity: Dates Length of Experience With This Employ:er

    INSPECTION of Pressure Vessels .j From "j II - JI\1.) J'lDilTo ,[)A: ~ - I';:' I "yfl1fl... 2 l"totJHi ~

    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 N (PLEASE PRINT) Rana Ahsan Anwer

    Supervisor's S Date

    Subscribed and sworn to before me the _______________ day of____________-' ___

    Notary SIgnature

    My commission expires ___________________

    Notary Public

    NEWCOPY FOR WRITABLE FORM510_NEWCERTAPP_2013JINAL_7-18-12.DOCX 8

  • API 510 Test Registration Ahmed Faheem Yousafi Applicant's Name:

    API Exam I D # (If previously assigned): Examination Locations and Dates

    Please indicate your preferred exam date and location listed below.

    D December 5,2012 (Application Deadline - API must receive no later than September 17,2012) Iii June 5,2013 (Application Deadline - API must receive no later than March 20, 2013) D September 25, 2013 (Application Deadline - API must receive no later than July 10, 2013)

    Application deadlines are firm - no exceptions will be made.

    *NOTE: An additional sitting fee will be required at the Edmonton location in December. You will receive information, prior to the exam date, from ABSA I API, with payment instructions.

    North America:

    Anchorage, AK D * Edmonton, AB (Canada) D Oakland, CA

    II Atlanta, GA D Houston, TX D Oklahoma City, OK r mm l Baton Rouge, LA D Indianapolis, IN D Philadelphia, PA D Corpus Christi, TX D Los Angeles, CA Other Locations:

    D Abu Dhabi, UAE D Chennai, India D Kuala Lumpur, D Safat (Kuwait City), Kuwait Malaysia rmmr AI-Khobar, Saudi Arabia D Chia, Colombia Mumbai, India D Singapore, Singapore

    D ...D Cairo, Egypt D Doha, Qatar Port of Spain, D United Kingdom

    D (contact API for city info) Trinidad

    If a location of your choice is not listed above please contact API for more information.

    If you are testing at an API-approved special site, please include the location andlor group here: Lahore, Pakistan

    City, Country

    > > THIS FORM MAY ALSO BE USED TO RESCHEDULE A TEST If rescheduling, please remember to include the re-test fee.

    NEW-COPY FOR WRITABLE FORM510_NEWCERTAPP_2013JINAL_7-18-12.DOCX 9

  • ----------------------------------------

    N/A

    FOREIGN LANGUAGE WAIVER for ICP CERTIFICATION EXAMS

    OUTSIDE OF UNITED STATES

    (Complete this form only if testing in a language other than English.)

    Please complete and sign the form below to take the API exam in a Foreign Language. This form is sufficient for all your attempts within a given program until you obtain your certification. If you do not submit this form, or the form is incomplete, you will take the exam in English. Please note: Translations are not available for all languages or all programs, and API does not guarantee that your requested translation will be available. Make sure to visit the API website and confirm language availability prior to applying.

    1, _______________________________________________ 10#_____________ (Please print yourfull name above. Ifyou hold another certification with API please include that numbel)

    request to take the following examination in a foreign language: API program: ___________________________________

    Location:

    Languagerequested: ________________________________

    Assumption of the Risk and Waiver of All Claims Read this carefully before signing. Translation of technical terminology and complex subjects is difficult and subjective. API cannot warrant that the foreign language translations of API materials are accurate. By signing this form, you agree to assume any risk of inaccurate translations and also to waive any claim against API related to the accuracy of the translated exam.

    I, the undersigned, agree to the following:

    1. I agree to take the API examination in a foreign language. I understand that the technical translation of the terminology in the course of the examination mayor may not be familiar and acceptable to me.

    2. In the event of my failing the examination I agree to hold API harmless against any claims related to the language of the examination.

    3. In the event of my failing or not taking the examination I understand and agree that API will not make any refunds of my application fees or be liable for any damages whatsoever.

    4. API shall be the sole judge or whether 1 have the appropriate qualifications to become certified under API Individual Certification programs.

    Signature:

    Fullname: ___________________________________________

    Company Name: _____________________________________

    Date:

    NEWCOPY FOR WRITABLE FORMSJO_NEWCERTAPP_20J3]INAL_7-J8-J2.DOCX 10

  • Il1spector Cer'tification Agreement - 1

    (Effective on Date of Inspector's Certification)

    This Agreement is between the American Petroleum Institute (hereinafter "API" ), a corporation of the District of

    Columbia, having an office at 1220 L Street, N .W. , Washington, D.C. 20005, and the Applicant (the "Inspector"), residing

    at the address noted below.

    Whereas, API's Individual Certification Programs C'ICP") certifY inspectors and other technical personnel that meet the

    guidelines and requirements specified in the program.

    Whereas, Inspector desires to obtain certification under the APT ICP program.

    Now therefore, in consideration of the mutual covenants hereinafter stated, the parties agree as follows: I. Inspector agrees to comply with all of the program policies and requirements. Inspector agrees and understands that

    API shall be the sole judge of whether the Inspector has the appropriate qualifications to become ce11ified, remain certified, or to be rece11ified.

    2. The Inspector agrees not to make any misrepresentations concerning the Inspector's certification status or the

    program. The Inspector agrees not to perform any acts, which directly or indirectly ass ist a third-party in making any

    misrepresentation relating to the ICP program.

    3. The Inspector understands and agrees that the ICP Program is designed to assist users in identifYing inspectors who

    have satisfied the minimum qualifications specified in the applicable industry standards and that API does not warrant

    or guarantee the competency of any inspector certified under this program. The inspector agrees not to mislead

    customers or the public about the scope and purpose of this program.

    4. The Inspector authorizes API to release infonmation to regulatory agencies, current or potential employers, or other

    interested parties concerning the inspector's certification status. API agrees to take reasonable measures to ensure that

    any information that is released is accurate. However, API does not warrant or guarantee the accuracy of any

    information that is released and specifically disclaims any I iability relating to the release of this data.

    5. The Inspector understands and agrees that the Inspector's certification will not be renewed unless the inspector

    satisfies all of the program requirements for renewal and submits the appropriate recertification application and

    renewal fee to API within the time frame specified by API.

    6. Inspector understands and agrees that API may modifY the requirements for an inspector to obtain, maintain, or renew

    the certification at any time. If API's requirements are modified, API shall determine the date by which the new

    requirements become effective. Inspector agrees to comply with the modified requirements within the deadline

    specified by API. API agrees to attempt (but assumes no duty) to notifY Inspector of significant changes to the

    program by either giving notice: (I) at the Inspector's last known e-mail address, or (2) by posting the changes on the

    API website. It is the responsibility of the Inspector to notifY API of address and e-mail changes. The failure of API

    to notifY Inspector of a renewal date or modification of the program does not relieve the Inspector of the

    responsibility to file a timely renewal application or to comply with new certification requirements. It is the

    responsibility of the Inspector to obtain this information by contacting API or by checking the API website for

    updates.

    7. If any action or proceeding is brought by API to enforce, protect or establish any right or remedy with respect to this Agreement or with respect to the subject matter of this Agreement, API shall be entitled to recover reasonable attorney's fees and costs provided that it is the prevailing party. Inspector agrees to indemnify API for any losses or damages resulting from the breach of the tenms of this Agreement by the Inspector.

    8. The Inspector agrees and understands that API may terminate an inspector 's certification if API determines that the inspector has: (I) made material errors, omissions, or misrepresentations on the application or in any other documents submitted to API, or (2) violated any tenms or conditions of this Agreement or any ICP policies or requirements. API also may terminate the program at any time and for any reason deemed appropriate by API. Upon termination, with or without cause, of any rights or authority conferred by this Agreement, or upon expiration/tenmination of the Inspector's certification, Inspector agrees to return all certification documents to API within 30 days.

    9. The Inspector shall not use any trademark of API or name of API including any abbreviation thereof, in any publicity, advertising, or for other promotional purposes without the prior written approval of API.

    NEW-COPY FOR WRITABLE FORM510_NEWCERTAPP_20I3JINAL_7-18-12.DOCX I I

  • ____________ _

    10. The Inspector agrees to comply strictly with all U.S. export laws relating to this program. The Inspector warrants that he is not located in, or under the control of or a national or resident of any embargoed countries.

    J I. This agreement shall not and is not intended to benefit or to grant any right or remedy to any person or entity that is not a party to this Agreement.

    12. This instrument contains the entire and only agreement between the parties. No oral statements or representations not herein contained shall have any force and etfect.

    13. Paragraphs 2, 3, 4, 5, 6, 7, and 8 survive termination of this agreement.

    J4. It is expressly understood between the parties hereto that no association, agency, apparent agency, employer/employee relationship , partnership, or joint venture of any kind has been created. Inspector agrees not to refer to himself as API's agent nor refer to the relationship between the parties as ajoint venture or paI1nership or in any manner inconsistent with this Agreement. Inspector shall have no authority to act or contract on behalf of API.

    15. No waiver by API of any default, misrepresentation, or breach of warranty or covenant hereunder, regardless of whether intentional, shall be deemed to extend to any prior or subsequent default, misrepresentation, or breach of warranty or covenant hereunder or affect in any way any rights arising by vil1ue of any prior or subsequent such occurrence.

    16. API makes no express or implied warranties regarding the ICP program or potential benefits of the certification to the Inspector.

    17. The Inspector agrees to pay all sales, use, property, excise, and other taxes now or hereafter imposed by any government body or authority in any way measured by this Agreement, or any portion of it, or any services related thereto.

    18. Inspector understands and agrees that Inspector is not granted any rights under the program or this Agreement until API has determined that the Inspector has satisfied all of the program requirements and has issued a Certificate to the Inspector. The Inspector's certification shall be effective on the date that is noted on the Certificate and shall be effective for a period of three years unless terminated pursuant to the terms of this Agreement.

    19. This Agreement shall be governed by and construed in accordance with the laws of the District of Columbia, USA, without regard to the rules regarding conflicts of law. The parties agree that any action, suit, or proceeding based upon any matter, claim, or controversy arising hereunder or relating hereto shall be brought exclusively in the federal or state courts located in District of Columbia, USA. The parties consent to the jurisdiction and venue of such courts, and waive any objections to the jurisdiction and venue thereof.

    I, the undersigned, certify that I have read and fully comprehend this form in its entirety and agree to comply

    with the conditions specified above.

    . .Applicant's name (please pnnt) Ahmed Faheem Yousafi

    Signature of Applicant

    API Reviewer's Initials:

    NEW-COPY FOR WRlTABLE FORM510_NEWCERTAPP _2013JINAL_7-18-12.DOCX 12

  • Inspector Application Agreement - 2 (for Initial and Renewal Certification) (Effective upon Submission of Application) The applicant agrees to the following conditions:

    I. API agrees to evaluate the applicant's qualij-ications to determine if the Inspector satisties the requirements of the ICP program. Applicant understands and agrees that: (I) API will not issue an ICP certificate to the Applicant unless API determines that an Applicant meets all of the requirements and Applicant has submitted the applicable fees and documentation within the specified time fiame, and (2) API shall be the sole judge of whether the Applicant has the appropriate qualifications to become certified, remain certified, or be recertified .

    2. The Applicant agrees to pay the applicable fees, comply with all of the program requirements and submit any supplemental information or documents deemed necessary by API to verii)' an applicant's qualifications. Applicant understands and agrees that API does not represent or warrant that the submission of the fees and materials by the Applicant will result in the Applicant being certified under the program.

    3. Each new application remains valid for a period of 12 months from the date of receipt by API. API grants each applicant three consecutive attempts during the I2-month period to sit and pass the test, stm1ing with the first exam administration the applicant registers for. Applicants must pass the exam within these three consecutive exam administrations. If an applicant fails to appear for the test, cancels his/her appearance and reschedules, or takes the exam and fails it, it will count as an official attempt.

    4. If the applicant does not obtain a certification within this period of time and still wishes to obtain the certification, they must start the application process again, including re-submission ofa full fee and a complete new application.

    5. All requests for refunds must be submitted in writing by mail, e-mail or by fax to API no later than 6 months from the date payment was received by API. Requests for refunds received after this period cannot be fulfilled.

    6. An applicant is entitled to a full refund of the application fee, minus a processing fee, only if API receives the refund request prior to the exam application deadline. Reschedule fees are not refundable.

    7. An applicant is entitled to a 50% refund of the application fee if the refund request is received by API within 6 months from the date payment was received by API and the candidate cancelled in advance of the examination date.

    8. No refunds will be made if an applicant has taken the test or did not show up without prior notice.

    9. For normal processing API must receive recertification applications prior to the current certification's expiration date. Recertification applications must be mailed, as API requires the original of the notarized page.

    10. API may extend the certification term for 3 (three) months after the expiration date. Inspectors will remain authorized during that period of time. Recertification applications received by API within this extension term will be processed, but a $ I 50.00 late fee will be required.

    I I . Inspectors who do not apply for recertification within three months after the current certification expiration date will lose their certification.

    12. Circumstances such as heavy work schedule or work in other countries do not relieve the inspector of the responsibility to file a timely renewal application.

    13. Applicant understands and agrees that API may modifY the requirements for an applicant to obtain, maintain, or renew the certification at any time. If API's requirements are modified, API shall determine the date by which the new requirements become effective. Applicant agrees to comply with the modified requirements within the deadline specified by API. API agrees to attempt (but assumes no duty) to notifY Applicant of significant changes to the program by either giving notice: (I) at the Applicant's last known e-mail address, or (2) by posting the changes on the API website. It is the responsibility of the Applicant to notifY API of address changes. The failure of API to notifY Applicant ofa renewal date or modification of the program does not relieve the Appl icant of the responsibility to file a timely renewal application or to comply with new certification requirements. It is the responsibility of the Applicant to obtain this information by contacting API or by checking the API website.

    14. The Applicant agrees to comply strictly with all u.s. export laws relating to this program. The Applicant warrants that he is not located in, or under the control of, or a national or resident of any embargoed countries.

    15. The Applicant agrees to pay all sales, use, property, excise, and other taxes now or hereafter imposed by any government body or authority based on in any way measured by this Agreement, or any portion or it, or any services related thereto.

    NEW-COPY FOR WRITABLE FORM51 0 _NEWCERT APP _20 I3JINAL_7-1 8-12. DOCX 13

  • 16. Applicant warrants and represents to all information that is being submitted pursuant to this is complete and accurate. Applicant understands that API is relying upon the accuracy of thi s information in evaluating the Inspector's qualilications. Applicant agrees to indemnit)' API for any claims, losses, or damages resulting ti'om the Applicant submitting inaccurate or misleading information.

    I, the undersigned, certify that I have read and fully comprehend this form in its entirety and agree to abide by the policies and regulations specified above.

    Ahmed Faheem Yousafi . faheem.yousafi@gmaiLcomApplicant's name (please print) _ ____________ E-mail: _____________

    ( )_- MtVT (!A- ~/3 Signature of Applicant Date

    API Reviewer's Initials ________

    14NEW-COPY FOR WRITABLE FORM510_NEWCERTAPP~OI3JJNAL_7-18-12. 00CX

  • VELOSIINTEGRITY & SAFETY PAKISTAN (PVT) LTD Plot# 45. Street# 10. 1-9/2. Industrial Area. Islamabad - Pakistan. A~plus()T : + 92-51-4431282-3 F : +92-51-4431284 E : [email protected] VELDSI W: www.applusvelosi.com

    March 12,2013

    TO WHOMIT MAY CONCERN

    This is to confirm that Ahmed Faheem Yousafi, with employee # VISP/OLl042 and passport # CD6911341 has been with Velosi Integrity and Safety Pakistan as an Inspection Engineer from January 24,2012 to Present. He has been involved in in-service inspection of vessels as per API 510 under the supervision of API-51 0 Certified Inspector and fulfills the criteria of eligibility for AP 1 510 Certification.

    Naveed Iqbal Operation Manager

    Karachi Office: 401 . 4th Floor BusIness Centre Plot # 19-A-1 , Block-B, P.E.C.H .S. Society, KarachI-Pakistan Tel: + 92-2 1-34 5 4950 3-4, Fax : + 92-21 -3 4549505 Lahore Office: Plot No. 185-186,Small lndu5trial.Estate. lQuaid-e-Azam Industr ial Estate) Kot Lakhpat , Lahore-Pakistan. Tel. + 92-42-35111765-7. Fax: +92-42-351 '11768

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