APPLICATION FOR POWER
ENGINEERS EXAMINATION
AB-66 (Part A1) 2014-09
1. TO BE COMPLETED BY APPLICANT: (Please Print) |
File No: |
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(for previous applicants only) |
Mrs. |
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Name of Applicant: Ms. |
Date of Birth: |
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(Lastname) |
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(yyyy/mmm/dd) |
Mailing Address: |
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(Apt./Street) |
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(City) |
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(Postal Code) |
Phone No.: |
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Phone No.: |
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Cell No.: |
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(Home) |
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(Work) |
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E Mail Address: |
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Indicate below the examination you are applying to write:
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Part A |
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Part B |
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Paper |
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Paper |
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Class |
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4 |
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4 |
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Rev. 1st |
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Rev 2nd |
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3rd |
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4th |
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5th |
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Fired Process Heater Operator
Special Boiler Operator (SBO)
* Special Oilwell (SOW) use form AB-144
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Upgrades |
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4th to New 4th |
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2nd to 1st |
BOA to New 4th |
3rd to 2nd |
BOB to 5th |
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4th to 3rd |
Fireman to 5th |
5th to 4th |
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Reinstatements |
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CLASS |
1 2 |
3 4 5 |
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Steam Traction |
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Written |
Practical/Renewal |
*Transition Period $162 |
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*Certified Steam Traction Operators prior to Nov. 1 2013 must provide experience (100 hrs) and pay the transition fee.
Indicate the location and month you wish to write the exam. Please indicate 1st and 2nd choice:
Edmonton |
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Fort McMurray |
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Calgary |
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Red Deer |
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Lethbridge |
Medicine Hat |
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Grande Prairie |
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Jan |
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Feb |
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Mar |
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Apr |
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May |
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June |
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July |
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Aug |
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Sept |
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Oct |
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Nov |
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Dec |
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Note: Available places are allocated on a first come basis, therefore you may not be guaranteed the date(s) of your choice.
“Exams are protected by copyright. A candidate who shares any examination questions or parts thereof with other in any format may be subjected to disqualification of the exam paper written and certification as well as a penalty from writing another examination for up to twelve months.”
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:
ABSA, the pressure equipment safety authority
9410 – 20th Avenue
Edmonton, AB T6N 0A4
Phone (780) 437-9100 Fax (780) 437-7787
Exams Toll Free Line - 1-888-454-3926
www.absa.ca
email to: exams@absa.ca
Amount: |
Cash , Cheque , M/C , Visa , |
*Debit |
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Cardholder Name: |
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*Only in person. |
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Debit Visa NOT |
Card Number: |
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accepted |
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Expiry Date: |
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ABSA Use only |
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Auth. # |
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Cardholder |
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Signature: |
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APPLICATION MUST BE SUBMITTED A MINIMUM OF 21 DAYS PRIOR TO EXAMINATION DATE
First Received, First Scheduled – NO GUARANTEES
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APPLICATION FOR POWER |
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ENGINEERS EXAMINATION |
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AB-66 (Part B1) 2014-04 |
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Name of Applicant: |
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File No: |
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(Lastname) |
(Firstname) |
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(for previous applicants only) |
Declaration of the Applicant’s Experience
2. To be completed by Chief Steam Engineer or Company Official:
Company Name: |
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Plant Name: |
Plant Location: |
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Type of Plant: |
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Power Plant |
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Heating Plant |
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Pressure Plant |
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Thermal Liquid Heating System |
Boiler Kilowatts Rating: |
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Boiler Pressure: |
Steam |
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Water |
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ABSA Boiler Wall Certificate Number: |
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A- |
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Applicant’s Operating Experience: |
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For College Use Only |
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From: |
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To: |
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Controlled Practicum Experience |
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(yy/mm/dd) |
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(yy/mm/dd) |
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College Name: |
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months as |
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position |
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Program Name: |
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4th / 3rd / PET |
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months as |
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position |
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Student Hours |
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(From Timesheet) |
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months as |
position |
Practicum |
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Coordinator: |
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Positions are: |
Chief Power Engineer, Shift Engineer, Assistant Shift Engineer, Assistant Engineer, Process Operator(Note 1), |
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Heating Plant Operator, Power Engineer in Charge and Thermal Liquid Heating System Operator, Steam |
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Traction Operator, Process Fired Heater Operator. |
Name of Chief Power Engineer/Company Official: |
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Position |
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File Number (if applicable): |
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Work Phone: |
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Fax: |
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Work Email Address: |
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Signature: |
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Date: |
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By my signature, I, |
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, A- |
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, declare the above information |
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Name of Chief Power Engineer |
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ABSA File Number |
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for |
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to be true and complete to the best of my knowledge. I also declare |
Name of Applicant
that the applicant is competent in carrying out the job tasks as per the “Owners” training/competency program.
The information you provide is necessary for the administration of the programs as required by the Alberta Safety Codes Act and Regulations in the Boiler Discipline.