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Iema License Application 2018
Sex:
Address
Birthdate
Business Telephone # (
MI
First
F
M
/
Yes
No
)
Home/Cell Telephone # (
Number & Street
/
)
Email
City
Zip
State
Send test results for exam via email
III. Type of Industrial Radiography for which Certification desired
Radioactive Materials
Both
X-Ray
IV. Type of Certification Required
Initial Certification (Complete Section V
below for Initial certification only)
Certification as Industrial Radiographer Trainee (copy of letter or
certificate...
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