Registration for Migration to METC Registration for Migration to METCThis information will be used to update your permanent recordsMigrating the Following Registration(Required) ASSE 6005 Medical Gas System Specialists ASSE 6010 Medical Gas Systems Installer ASSE 6020 Medical Gas Inspector ASSE 6040 Medical Gas Maintenance Personnel Name of Student(Required) First Last Address of Student(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Work PhoneHome or Cell Phone(Required)Social Security Number (Last 4 Digits)(Required) Email(Required) Experience Level(Required) Master Plumber Journeyman Apprentice N/A Year Experience(Required) Job Title(Required) Field Supervisor Inspector Estimator Other In House Hospital Personnel (Please Specify) Current License Number State Name of Employer(Required) Address of Company(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Company Phone NumberPicture of Current ASSE Card(Required)Max. file size: 100 MB.Picture for Renewal Card(Required)Please include a passport style photo for your renewal cardMax. file size: 100 MB.Picture of Current QB-484 Brazing Certificate or Wallet Card(Required)Please scan or take a photo of your current QB-484 brazing certificate or wallet card from other acceptable companyMax. file size: 100 MB.I need:(Required) Test Only ($125) Migration Only ($125) Test and Book ($250) Test, Book and Migration ($375) Acknowledgements(Required) The above signature certifies that I have completed 4 hours of continuing education as required by ASSE 6000.NameThis field is for validation purposes and should be left unchanged.
