AB-031 Design Registration Application

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Design Registration Application

AB-31 2016-06 Page 1 of 1

Please complete a separate form for each design/procedure you wish to register.
Date of Application (yyyy/mm/dd):
New Submission For ABSA Office Use Only
Resubmission Ref. Tracking No. Tracking No.
Revision Ref. CRN Date Received
Repair or Alteration Ref. CRN Assigned Surveyor
(incl. 2 copies of the AB-230)
Ref. A No. Response Date
Used Equipment Imported to Alberta** Quality Plan**(for recognized AQP holders only)
For Registration in other Canadian provinces and territories ** AQP No.:
BC SK MB ON QC NB RDR / RDS Name
NS PE NL NT YT NU For QP Initial Audit Yes No
Manufacturers Full Legal Company Additional Information
Include two sets of drawings (folded), one set of
Name and Address calculations and the applicable Form AB-31a or AB-31b.
(Plant Owner
(plant owner for piping) for piping

Main Drawing No(s)., Fitting Catalogue No., or
Mailing Address: Welding Spec No.:

Vessel or Boiler ASME Sec.:
Code of Construction
Contact Person: (incl. Form AB-31a) Div.:

Phone Number: Piping (incl. 1 copy of the AB-31b and 2 copies of the AB-96*)

Fax Number: Ref. PP No.:


Email Address: Fitting ( New / Addition / Renewal)
Submitters Full Legal Company (incl. 2 original copies of the AB-41* and 2 copies of the AB-257)

Name and Address Ref. CRN (if applicable):


(If other than
same as shown in A)see below
manufacturer Welding Procedure
Pneumatic Testing Procedure (for piping)

Mailing Address: Ref. PP No.:


Hot Tap Procedure (for piping)
Ref. PP No.:
Contact Person: Reciprocal Design (incl. proof of registration)
Phone Number: Reciprocal CRN:
Fax Number: Other (specify)
Email Address:
Invoicing Instructions Type of Pressure Boiler
The invoice will be sent and the documents will be Equipment Pressure Vessel
returned to the Submitter. (check only one)
Heat Exchanger

P.O. No. or Ref. No.: Rush Rate Authorized by:


(if required for payment)
Date required:
Call for submission pick-up
* Required Forms
** See the ABSA website for further information www.absa.ca

Mail to: ABSA 9410 20th Avenue Edmonton, AB Canada T6N 0A4

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