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{{#Wiki_filter:Form 1.3-1 Examination Security Agreement (1) | {{#Wiki_filter:m | ||
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examinations administered during the week(s} of J"'\1 ,r,Le~t- From the date that I entered into this examination security agreement | (0 (1) 00 Q. | ||
00 Form 1.3-1 Examination Security Agreement (1) | |||
Preexamination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRG) licensing examinations scheduled for the week(s} of j,,.\\1,v, ic-..~ as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until the completion of examination administration, except as specifically noted below or authorized by the NRG. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures} and understand that violation of the conditions of this agreement may result in cancellation of the examinations, an enforcement action by the NRG against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examiner any indications or suggestions that examination security may have been compromised. | |||
2. | (2) | ||
3. | Postexam ination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s} of J"'\\1,r,Le~t-From the date that I entered into this examination security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below or authorized by the NRC. | ||
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Print Name Job Title Date Note o- | |||
Form 1.3-1 Examination Security Agreement (1) | m (fl I..... | ||
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(2) | "'O Q) | ||
(0 (I) 00 a (X) | |||
Form 1.3-1 Examination Security Agreement (1) | |||
Preexam i nation I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of JJCty,w, un.L as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRG chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until the completion of examination administration, except as specifically noted below or authorized by the NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations, an enforcement action by the NRG against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examiner any indications or suggestions that examination security may have been compromised. | |||
(2) | |||
: 1. | Postexamination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRG licensing examinations administered during the week(s) of 1-\\'<.-*n... From the date that I entered into this examination security agreement until the completion of examination administration, I did not instruct, evaluate. or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below or authorized by the NRC. | ||
3. | : 1. | ||
4. | : 2. | ||
5. | : 3. | ||
6. | : 4. | ||
7. | : 5. | ||
8. | : 6. | ||
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10. | : 8. | ||
11. | : 9. | ||
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Print Name Job Title Date Note V-o | |||
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: 9. | |||
co Form 1.3*1 Examination Security Agreement (1) | |||
: 2. | Preexamination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of Jv.l~ \\f, -i.1.zas of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until the completion of examination administration, except as specifically noted below or authorized by the NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations, an enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examiner any indications or suggestions that examination security may have been compromised. | ||
4. | (2) | ||
5. | Postexam ination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of, *,,- 'l. "l-. From the date that I entered into this examination security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below or authorized by the NRC. | ||
6. | : 1. | ||
7. | : 2. | ||
8. | : 3. | ||
9. | : 4. | ||
10. | : 5. | ||
11. | : 6. | ||
12. | : 7. | ||
: 8. | |||
: 9. | |||
: 10. | |||
: 11. | |||
: 12. | |||
NOTES: | NOTES: | ||
Print Name Job Title Note S,tZO | |||
.I | |||
y | 7 I I | ||
,,,-y 0 | |||
(1) | Form 1.3-1 Examination S~wity Agr9efflent (1) | ||
PNexamination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission {NRC) licensing examinations scheduled for the week(s) of.L.'t,,,-....,as of tt,e date of my signature. I agree that I will not knowingly dwuSge any information about these examinations to any persons who have not been authoriZed by the NRC d\\ief exanmer. I und8rstand that I am not to instruct, evaluate, or provide performance feedback to those applicants schedwed to be administered these licensing exari\\ations from this date until the completion of examination administration, except as speclfk:aly noted below or aulhoriZed by lhe NRC. Furthenn<<e, I am awa111 of 1he physical security measures and requintmen(s (aa. documented In the facility licenaee's procedures) and understand that violation of the conditions of this agraement may resul in cancelaUon of the examinations, an enforcement action by lhe NRC against me or the facility licensee, or both. I will immedlateJy report to facility licensee management orlhe NRC chief~ any lndlc:atiOnS or suggestions that examination secuty may have been compromised. | |||
(2) | |||
Postuamlnation To the best of my knowledge, I did not divulge to any unauthoriz:ed penions any information concerning the NRC licensing eXMlinallons 8Clmlnl$tered dUrtng the week(a) of -, -\\ ~ * 'l. ~ From the dale that I entered Into this exammatlon security agreement unCI the completiOn of examination adminiatnltion, I did not instruct, evaluate, or ~ | |||
petfonnanc:e feedback to those applicants who were administered these lklensing examinations, except as specifically noted below<< authorized by the NRC. | |||
PrintNane Job Tide re(1) | |||
Dale ~refZJ | |||
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Note | |||
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: 7. | |||
: 8. | |||
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: 11. | |||
: 12. | |||
: 13. | |||
NOTES: | |||
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0 Form 1.3-1 Examination Security Agreement (1) | m Cl) | ||
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0 Form 1.3-1 Examination Security Agreement (1) | |||
Preexamination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of ~L,,, f'/ \\911911. as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until the completion of examination administration, except as specifically noted below or authorized by the NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations, an enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examiner any indications or suggestions that examination security may have been compromised. | |||
2. | (2) | ||
3. | Postexamination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 1-\\\\-"l. -i... From the date that I entered into this examination security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were admini,stered these licensing examinations, except as specifically noted below or authorized by the NRC. | ||
4. | : 1. | ||
5. | : 2. | ||
6. | : 3. | ||
7. | : 4. | ||
8. | : 5. | ||
9. | : 6. | ||
10. | : 7. | ||
11. | : 8. | ||
12. | : 9. | ||
: 10. | |||
: 11. | |||
: 12. | |||
Print Name Job Title Date Note | |||
Form 1.3-1 Examination Security Agreement (1) | m U> | ||
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who were administered these licensing examinations, except as specifically noted below or authorized by the NRC. | Form 1.3-1 Examination Security Agreement (1) | ||
Preexam ination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of ;i 1.-\\'l fl, 20,i.as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback*to those applicants scheduled to be administered these licensing examinations from this date until the completion of examination administration, except as specifically noted below or authorized by the NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations, an enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examiner any indications or suggestions that examination security may have been compromised. | |||
Print Name | (2) | ||
: 1. | Postexamination To the best of my knowledge. I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of.., -w-*u.... From the date that I entered into this examination security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below or authorized by the NRC. | ||
Print Name Job Title Signature (1) | |||
7/1!/IJ'J.. | Dat~ | ||
: 2. | Signature (2) | ||
Date Note | |||
: 1. | |||
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: 8. | |||
: 9. | |||
: 10. | |||
: 11. | |||
: 12. | |||
: 13. | |||
NOTES:}} | NOTES:}} | ||
Latest revision as of 15:50, 27 November 2024
| ML22250A720 | |
| Person / Time | |
|---|---|
| Site: | Cook |
| Issue date: | 08/10/2022 |
| From: | Ted Wingfield NRC/RGN-III/DRS/OLB |
| To: | Indiana Michigan Power Co |
| Wingfield T | |
| Shared Package | |
| ML21263A041 | List: |
| References | |
| Download: ML22250A720 (6) | |
Text
m
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(0 (1) 00 Q.
00 Form 1.3-1 Examination Security Agreement (1)
Preexamination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRG) licensing examinations scheduled for the week(s} of j,,.\\1,v, ic-..~ as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until the completion of examination administration, except as specifically noted below or authorized by the NRG. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures} and understand that violation of the conditions of this agreement may result in cancellation of the examinations, an enforcement action by the NRG against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
(2)
Postexam ination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s} of J"'\\1,r,Le~t-From the date that I entered into this examination security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below or authorized by the NRC.
- 1.
- 2.
- 3.
- 4.
- 5.
- 6.
I 7.
- 8.
- 9.
- 10.
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- 12.
- 13.
Print Name Job Title Date Note o-
m (fl I.....
yJ
"'O Q)
(0 (I) 00 a (X)
Form 1.3-1 Examination Security Agreement (1)
Preexam i nation I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of JJCty,w, un.L as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRG chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until the completion of examination administration, except as specifically noted below or authorized by the NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations, an enforcement action by the NRG against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
(2)
Postexamination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRG licensing examinations administered during the week(s) of 1-\\'<.-*n... From the date that I entered into this examination security agreement until the completion of examination administration, I did not instruct, evaluate. or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below or authorized by the NRC.
- 1.
- 2.
- 3.
- 4.
- 5.
- 6.
- 7.
- 8.
- 9.
- 10.
- 11.
- 12.
- 13.
Print Name Job Title Date Note V-o
m Cf)
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CD co
- 9.
co Form 1.3*1 Examination Security Agreement (1)
Preexamination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of Jv.l~ \\f, -i.1.zas of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until the completion of examination administration, except as specifically noted below or authorized by the NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations, an enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
(2)
Postexam ination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of, *,,- 'l. "l-. From the date that I entered into this examination security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below or authorized by the NRC.
- 1.
- 2.
- 3.
- 4.
- 5.
- 6.
- 7.
- 8.
- 9.
- 10.
- 11.
- 12.
NOTES:
Print Name Job Title Note S,tZO
.I
7 I I
,,,-y 0
Form 1.3-1 Examination S~wity Agr9efflent (1)
PNexamination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission {NRC) licensing examinations scheduled for the week(s) of.L.'t,,,-....,as of tt,e date of my signature. I agree that I will not knowingly dwuSge any information about these examinations to any persons who have not been authoriZed by the NRC d\\ief exanmer. I und8rstand that I am not to instruct, evaluate, or provide performance feedback to those applicants schedwed to be administered these licensing exari\\ations from this date until the completion of examination administration, except as speclfk:aly noted below or aulhoriZed by lhe NRC. Furthenn<<e, I am awa111 of 1he physical security measures and requintmen(s (aa. documented In the facility licenaee's procedures) and understand that violation of the conditions of this agraement may resul in cancelaUon of the examinations, an enforcement action by lhe NRC against me or the facility licensee, or both. I will immedlateJy report to facility licensee management orlhe NRC chief~ any lndlc:atiOnS or suggestions that examination secuty may have been compromised.
(2)
Postuamlnation To the best of my knowledge, I did not divulge to any unauthoriz:ed penions any information concerning the NRC licensing eXMlinallons 8Clmlnl$tered dUrtng the week(a) of -, -\\ ~ * 'l. ~ From the dale that I entered Into this exammatlon security agreement unCI the completiOn of examination adminiatnltion, I did not instruct, evaluate, or ~
petfonnanc:e feedback to those applicants who were administered these lklensing examinations, except as specifically noted below<< authorized by the NRC.
PrintNane Job Tide re(1)
Dale ~refZJ
~
Note
- 1.
Ui, u&rll ¥.Tii~tfA I 6.S TfAh 11,1{.
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~~
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- 4.
- 5.
- 6.
- 7.
- 8.
- 9.
- 10.
- 11.
- 12.
- 13.
NOTES:
y r
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F.. f t.f..
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t:~*
1!-.:..:..
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0 Form 1.3-1 Examination Security Agreement (1)
Preexamination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of ~L,,, f'/ \\911911. as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until the completion of examination administration, except as specifically noted below or authorized by the NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations, an enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
(2)
Postexamination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 1-\\\\-"l. -i... From the date that I entered into this examination security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were admini,stered these licensing examinations, except as specifically noted below or authorized by the NRC.
- 1.
- 2.
- 3.
- 4.
- 5.
- 6.
- 7.
- 8.
- 9.
- 10.
- 11.
- 12.
Print Name Job Title Date Note
m U>
I......
<,.)
-0 Ill co (D
CXl 0 -
0:)
Form 1.3-1 Examination Security Agreement (1)
Preexam ination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of ;i 1.-\\'l fl, 20,i.as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback*to those applicants scheduled to be administered these licensing examinations from this date until the completion of examination administration, except as specifically noted below or authorized by the NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations, an enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
(2)
Postexamination To the best of my knowledge. I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of.., -w-*u.... From the date that I entered into this examination security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below or authorized by the NRC.
Print Name Job Title Signature (1)
Dat~
Signature (2)
Date Note
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NOTES: