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BPE-FRM-03 11/13/2014

Page  of 

Supplemental Application for

ASME BPE Certification

FORM P

Check the Type of Certification being applied for:

(Under a Corporate Program each Site manufacturing or supplying components must submit a complete application package for each Site.  Each Site will be issued a Site certificate authorizing use of the Certification Mark.  Site certificates must be associated with a Corporate Certificate.  A Corporate Certificate does not authorize use of the Certification Mark.)

Corporate Quality Management System Program

Quality Management System Program

Operations:

Materials:

Components:

If renewal, complete the following:

Certificate Requested:

Check the type of Operation(s), Material(s), and Component(s) to be listed in Certificate Scope: (check all that apply)

Activities performed by Applicant at another location: (Specific activities such as Quality Assurance, Purchasing, Forming, Storage, etc., performed at another location. List specific activity(ies) and the address where the activity(ies) will occur and distance from the location where the Quality Management System Manual is being controlled, managed and administered for all locations.)

 

ASME Certification Mark: (check all that apply)

When authorized, we prefer

Information for the ASME Audit Team:

For each operation indicate in the space provided if you perform “P” and/or subcontract “S” or if not applicable “NA”:

List additional activities being subcontracted:

8.2.1.4029.1.523496.503679

Joseph Pang

Jan. 26, 2012

ASME Conformity Assment

The complete ASME Application package for NQA-1 Quality Program Certificate

Martin Koenig

ASME NQA-1 QUALITY PROGRAM CERTIFICATE APPLICATION

Jan. 26, 2012

Company Name: Company ID: Division Name (If Applicable): This is the address where the Certificate will be issued to, and must be a physical location (street and number, road or highway).: Enter the City where the Company is located.: Enter the County where the Company is located when applicable.: CurrentPage: PageCount: Button1: ResetButton1: PrintButton1: Enter the Postal Code (ZIP) of where the Company is located.: Enter the State or Province where the Company is located when applicable.: Enter the State or Province where the Company is located when applicable.: : As indicated Select the type of units that were entered describing the distance.: A Site Certificate must be associated with a Corporate Certificate. If a Corporate Certificate is currently held enter the Certificate number.: Enter the distance from the Site address to the location where the Corporate Certificate is issued.: Check if the type of component being manufactured/supplied is tubing.: Inherit with the term "manufacturing" is the capability to supply the component being manufactured. : Select if the Type of Certificate being requested is for a New Issue.: Select if renewing Certificate(s)

Indicate Certificate(s) and Expiration Date(s) being renewed in the spaced provided to the right.: Enter Certificate Number: Enter the Expiration Date for each of the Certificates shown above.: List additional activities being subcontracted:

If more space is required to complete this information, just continue typing, the field will expand automatically when finished.: Indicate in the space provided if you perform “P” and/or subcontract “S” or if not applicable “NA”::