CONFIRMATION OF ASET REGISTRATION AND
NOMINATION BY ASET FOR REGISTRATION AS A
REGISTERED PROFESSIONAL TECHNOLOGIST (ENGINEERING)

To the Registrar of ASET:

NAME OF APPLICANT: SAMPLE

The above applicant for registration as a Registered Professional Technologist (Engineering) has stated that he/she has been or is a member of your Association and has granted permission to APEGGA to obtain additional information from sources it may deem necessary to the progression of the application. Please complete the applicable items below and return this form to us by mail or fax, as soon as possible. Thank you for your help. Sincerely, Mark Tokarik, LL.B., P.Eng., Director Registration.

The applicant is registered as a Registered Engineering Technologist with ASET. YES NO

The applicant is a member in good standing with ASET. YES NO

ASET nominates the applicant for registration with APEGGA as a Registered Professional Technologist (Eng) YES NO

Has this individual ever been subjected to any disciplinary action by ASET? YES NO

Proposed Defined Scope of Practice

Please add any additional information relevant to the application, etc

Revised February 9, 2000

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