ML030580031

Examination Security Agreement Form Es - 201-3 for the Dresden Retake Examination - Jan. 2003

ML030580031
Person / Time
Site:	Dresden
Issue date:	02/10/2003
From:	Lanksbury R NRC/RGN-III
To:	Skolds J Exelon Generation Co, Exelon Nuclear
References
50-237/02-302, 50-249/02-302
Download: ML030580031 (3)

Text

EXAMINATION SECURITY AGREEMENT, FORM ES-201-3 FOR THE DRESDEN RETAKE EXAMINATION - JAN 2003

DRESDEN ES-201 Examination Security eement Form ES-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC date of my signature. I agree that I will not knowingly divulge any licensing examinations scheduled for the week(s) of Y/OJ,/* as of the information about these examinations to any persons who have by the NRC chief examiner. I understand that I am not to instruct, not been authorized evaluate, or provide performance feedback to those applicants administered these licensing examinations from this date until scheduled to be completion of examination administration, except as specifically authorized by the NRC.Furthermore, I am aware of the physical noted below and procedures) and understand that violation of the conditions of security measures and requirements (as documented in the facility licensee's this agreement may result in cancellation of the examinations and/or action against me or the facility licensee. I will immediately report an enforcement to facility management or the NRC chief examiner any indications examination security may have been compromised. or suggestions that 2.. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations during the week(s) of J,.-, .. From the date that I entered into this security agreement until administered instruct, evaluate, or provide performance feedback to those applicants the completion of examination administration, I did not who were administered these licensing examinations, except as noted below and authorized by the NRC. specifically PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATENOTE

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NUREG-1021, Revision 8, Supplement 1

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ES-201 DRESDEN(

Examination Securit.y.Areement

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Form ES-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for date of my signature. I agree that I will not knowingly the week(s) of 'A0 4Z as of the divulge any information about these examinations to any by the NRC chief examiner. I understand that I am not persons who have not been authorized to instruct, evaluate, or provide performance feedback administered these licensing examinations from this to those applicants scheduled to be date until completion of examination administration, except authorized by the NRC.Furthermore, I am aware of the as specifically noted below and physical security measures and requirements (as documented procedures) and understand that violation of the conditions in the facility licensee's action against me or the facility licensee. I will immediately of this agreement may result in cancellation of the examinations and/or an enforcement report to facility management or the NRC chief examiner examination security may have been compromised. any indications or suggestions that

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the during the week(s) of . From the date that I entered into this NRC licensing examinations administered instruct, evaluate, or provide performance feedback to security agreement until the completion of examination those applicants who were administered these licensing administration, I did not examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1 DATE SGNA E DATENOTE

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NUREG-1021, Revision 8, Supplement 1 24 of 24