TRAINING & INDUSTRIAL SAFETY DIVISION

SCIENTIFIC AND ENGINEERING SERVICES DIRECTORATE

Plot # 234, Street # 07, Sector I-9/2, Industrial Area, Islamabad
Ph: (051)9257347~53 Fax: (051)9258642, 9258524
COURSE APPLICATION FORM

Applicant Information

Name of Applicant:

CNIC No: 2 Pictures

E-mail:

Contact/Cell No: PASNT membership #

Complete Address:

Qualification Academic NDT

(FSc, BS, DAE,
(as per course eligibility criteria) qualification
BTech, etc)
Total NDT experience
(incl. period in the method applied)

Course Title

Course Duration From To

Tick () appropriate box:  Only Training  Training and Certification

Fee Detail (Fee for Training and/or Certification)

Fee Due: Rs. __________/- Mode of Fee Payment: Cheque/Demand Draft Cash Payment
Training costs are separate from Certification/Exam costs as per published scale of Fees.
Fee payable to HEAD LAO (SES) and forwarded to Manager (Training & IS)
For cheque/Demand Draft:
(address mentioned above) before start of the course.

I declare that the information provided above is accurate and true.

Signature of Candidate Date

If nomination from Organization/Institute/Company

Name and Address of
Employer/Company
Ph. Fax E-mail
Contact Detail
of employer/company

Experience of Candidate: Please fill the methods below where NDT job functions were performed by the
candidate named above and indicate the number of months claimed for each method.

ET _____ LT _____ MT _____ PT _____ RT _____ UT _____ VT _____

I confirm that the information given above is correct. I/We undertake to pay all the course fees prior to the course
start date.
Name of Authorised
Designation
company representative

Signature with Date: Stamp

PCL-2A Rev.0, 01-07-2019 Page 1/2

 TRAINING & INDUSTRIAL SAFETY DIVISION
SCIENTIFIC AND ENGINEERING SERVICES DIRECTORATE
Plot # 234, Street # 07, Sector I-9/2, Industrial Area, Islamabad
Ph: (051)9257347~53 Fax: (051)9258642, 9258524
COURSE APPLICATION FORM

Eligibility for Course Enrolment: Please tick the information provided

1. Duly filled Course Application Form; Tick if completely filled 

2. Copy of National Identity Card (CNIC); Tick if attached 
3. Attested copy of Relevant Qualification Certificate/Degree; Tick if attached 
4. Sufficient Period Experience Certificate; Tick if attached 
5. Valid Vision Acuity test report; Tick if attached 
6. Any other document (eg, copy of Level-1 certificate for entry in Level-2 course) 

I have filled the checklist above. I declare that the information provided is accurate and true.

Applicant’s Signature with Date:

For Official use

Remarks:

ATO Representative: Signature with Date:

PCL-2A Rev.0, 01-07-2019 Page 2/2