iiee.files. file · Web viewACPE APPLICATION TO: INTERNATIONAL AFFAIRS DIVISION (IAD) ASEAN MRA AND APEC REGISTRATION. PRC Annex Building, 3rd Floor. P. Paredes Cor. Morayta St.,

ACPE APPLICATION TO:

INTERNATIONAL AFFAIRS DIVISION (IAD)

ASEAN MRA AND APEC REGISTRATION

PRC Annex Building, 3rd Floor

P. Paredes Cor. Morayta St., Sampaloc Manila

SUBMITTED BY:

[NAME MI. LAST NAME], PEE

[Month dd, yyyy]

ASEAN CHARTERED PROFESSIONAL ENGINEER

[Name MI. Last Name]Table of Contents[Month dd, yyyy]

TABLE OF CONTENTS

1. APPLICANTS CHECKLIST (DULY FILLED)

2. LETTER OF INTENT

3. DULY ACCOMPLISHED ACPE APPLICATION FORM NO. IAD-08 Rev.00

JULY 7, 2016

ATTACHMENT NO. 3.1 : CERTIFICATES OF EMPLOYMENT

ATTACHMENT NO. 3.2 : PROFESSIONAL TAX RECEIPT (PTR)

4. CPE/CPD CERTIFICATES OF CREDIT UNITS EARNED

ATTACHMENT NO. 4.1 : POST-GRADUATE ACADEMIC STUDIES

ATTACHMENT NO.4.2 : SEMINARS / WORKSHOPS

5. COPY OF DIPLOMA

6. CERTIFIED TRUE COPY OF TRANSCRIPT OF RECORDS

7. CHED CERTIFICATE OF EQUIVALENCY (WHEN APPLICABLE)

8. PRC CERTIFICATE OF REGISTRATION

9. VALID PRC PROFESSIONAL IDENTIFICATION CARD

10. CERTIFICATE OF “NO” PENDING ADMINISTRATIVE CASE ISSUED BY

PRC

11. CERTIFICATE OF GOOD STANDING ISSUED BY IIEE

12. ORIGINAL COPY OF VALID NBI CLEARANCE

13. SIGNED STATEMENT COMPLIANCE WITH CODE OF ETHICS (NOTA -

RIZED)

14. RECENT FOUR (4) PASSPORT SIZE PICTURES

15. PAYMENTS


[Name MI. Last Name]Applicant’s Checklist (Duly Filled)[Month dd, yyyy]

SECTION 01

APPLICANT’S CHECKLIST (DULY FILLED)

ASEAN CHARTERED PROFESSIONAL ENGINEER - PHILIPPINES AP-PLICANT'S CHECKLIST

Letter of intent ( 3 copies )

Duly accomplished ACPE Application Form No. 001-2013 with attached Certificate/s of Employ-ment covering a period not less than seven (7) years; Certification of Project completion

CPD Certificate of Credits Units earned

Copy of Diploma

Certified True Copy of Transcript of Records

CHED Certificate of Equivalency (when applicable)

PRC Certificate of Registration

Valid PRC Professional Identification Card

Certificate of No Pending Administrative Case issued by the PRC

Certificate of Good Standing issued by the respective APO

Original Copy of valid NBI Clearance

Signed Statement of Compliance with Code of Ethics (Notarized)

Recent four (4) passport size pictures, white background with name tag (coat and tie for men; blazer for women)

Payment Cash Cash Check Receipt No.(P 2,000.00 - non-refundable processing fee )

Payment Received by Date

Note:1. Triplicate copies of the accomplished application forms, including copies of all supporting docu-

ments must be submitted; legal size (8 ½” x 13”) of paper shall be used throughout; photo-copies of large documents shall be reduced accordingly. Each set shall be submitted 1 1/2'” 3-Ring Presentation binder. Documents shall be in a clear sheets inserts, complete with table of contents/tab.

2. All applications must be originally-signed by the applicant and shall be delivered or mailed to:

INTERNATIONAL AFFAIRS DIVISION (IAD) PROFES-SIONAL REGULATION COMMISIONPRC Main Building, 2nd Floor, International Affairs DivisionP. Paredes St. cor. Morayta St., Sampaloc, Manila

EMAILED APPLICATIONS OR COMPUTER-GENERATED SIGNATURES ON THE APPLICATION FORMS

WILL NOT BE ACCEPTED


[Name MI. Last Name]Letter of Intent[Month dd, yyyy]

SECTION 02

LETTER OF INTENT (DULY FILLED)

MARCH DIMAANO MATIENZO

Address: Block 39, Lot 55 Mondo Bambini, Zapote, Biñan City

Mobile No: +639209224303Email Address: [email protected]

LETTER OF INTENT

TO: ASEAN MONITORING COMMITTEE ON ENGINEERINGSERVICES OF THE PHILIPPINES (AMCESP)

I, [NAME MIDDLE NAME LAST NAME], Professional Electrical Engineer, whose

field of specialization is in [Write field of Specialization here], signify my intention

to apply as an ASEAN Chartered Professional Engineer (ACPE) to be included in

the ASEAN Chartered Professional Engineer Register (ACPER).

Attached are the pertinent documents for your perusal.

[NAME MIDDLE NAME LAST NAME], PEEApplicant

Month dd, yyyyDate


[Name MI. Last Name]Duly Accomplished ACPE Application Form No. IAD-08 Rev.00[Month dd, yyyy]

SECTION 03

DULY ACCOMPLISHED ACPE APPLICATION FORM NO. IAD-08 Rev.00

Please find as attached the duly accomplished ACPE Application Form No. IAD-08 Rev.00 July 7, 2016 with the following attachments:

ATTACHMENT NO.3.1 : CERTIFICATES OF EMPLOYMENT

3.1 Certificate of Employment with Fluor Daniel Inc. - Philippines

Period :October 5, 2005 to Present

Place : Muntinlupa City, Philippines


[Name MI. Last Name]Certificate of Employment[Month dd, yyyy]


[Name MI. Last Name]Copy of Professional Tex Receipt (PTR)[Month dd, yyyy]

ATTACHMENT NO. 3.2

COPY OF PROFESSIONAL TAX RECEIPT (PTR)


[Name MI. Last Name]Copy of Professional Tex Receipt (PTR)[Month dd, yyyy]


[Name MI. Last Name]CPE/CPD Certificate of Credit Units Earned[Month dd, yyyy]

SECTION 04

CPE/CPD CERTIFICATE OF CREDIT UNITS EARNED

Please refer to Item no. 9 Continuing Professional Development Credit Units ofACPE Form No. IAD-08 Rev.00 July 7, 2016 for the details of Trainings & Seminars attended, and find attached copies of the following certificates:

ATTACHMENT NO.4.1 : POST-GRADUATE ACADEMIC STUDIES

[Write Post Graduate Degree Here]

University [Write University Here]

Year Graduated [Month dd, yyyy]

ATTACHMENT NO.4.2 : SEMINARS / WORKSHOPS

4.2.1 2016 IIEE – ANNUAL NATIONAL CONVENTION

Period :November 23 - 26, 2016

Place SMX Convention Center, MOA Complex, Pasay City,Phil.

4.2.2 Fire Safety and 3D F&G Mapping

Period : September 30, 2016

Place : Polaris Building, Alabang, Muntinlupa City

4.2.3 17th Southern Luzon Regional Conference

Period :March 11- 12, 2016

Place Bellevue Hotel, Alabang Muntinlupa City

4.2.4 Grounding and Bonding in Electrical System

Period :January 30, 2016

Place Premier Hotel, Sta. Rosa City


[Name MI. Last Name]CPE/CPD Certificate of Credit Units Earned[Month dd, yyyy]

ATTACHMENT NO. 4.1 : POST-GRADUATE ACADEMIC STUDIES

[Write Post Graduate Study Here]


[Name MI. Last Name]Post Graduate Academic Studies (MSCM Diploma)[Month dd, yyyy]


[Name MI. Last Name]Seminars / Workshops [Month dd, yyyy]

ATTACHMENT NO. 4.2 : SEMINARS / WORKSHOPS


[Name MI. Last Name]Seminars / Workshops (2016 IIEE – ANC)[Month dd, yyyy]


[Name MI. Last Name]Seminars / Workshops (Fire Safety and 3D F&G Mapping) [Month dd, yyyy]

ASEAN CHARTERED PROFESSIONAL ENGINEERS

[Name MI. Last Name]Seminars / Workshops (17th SLR Conference)[Month dd, yyyy]

ASEAN CHARTERED PROFESSIONAL ENGINEERS

[Name MI. Last Name]Seminars / Workshops (Grounding & Bonding)[Month dd, yyyy]


[Name MI. Last Name]Seminars / Workshops (CSE153.1 Control Systems Theory)[Month dd, yyyy]


[Name MI. Last Name]Seminars / Workshops (CST214 Const’n Elect’l Inspection)[Month dd, yyyy]


[Name MI. Last Name]Seminars / Workshops (ELEC120 Haz. Area Class Overview)[Month dd, yyyy]


[Name MI. Last Name]Seminars / Workshops (ELE221 Haz Area Clas - N.American)[Month dd, yyyy]


[Name MI. Last Name]Seminars / Workshops (CSE168.1 Intro to SmartPlant Instr.)[Month dd, yyyy]


[Name MI. Last Name]Seminars / Workshops (CSE151.1 CS and Telecoms Review) [Month dd, yyyy]


[Name MI. Last Name]Copy of Diploma[Month dd, yyyy]

SECTION 05

COPY OF DIPLOMA


[Name MI. Last Name]Copy of Diploma[Month dd, yyyy]


[Name MI. Last Name]Certified True Copy of Transcript of Records[Month dd, yyyy]

SECTION 06

CERTIFIED TRUE COPY OF TRANSCRIPT OF RECORDS


[Name MI. Last Name]Certified True Copy of Transcript of Records[Month dd, yyyy]


[Name MI. Last Name]CHED Certificate of Equivalency[Month dd, yyyy]

N/A


[Name MI. Last Name]CHED Certificate of Equivalency[Month dd, yyyy]

SECTION 07

CHED CERTIFICATE OF EQUIVALENCY (WHEN APPLICABLE)


[Name MI. Last Name]PRC Certificate of Registration[Month dd, yyyy]

SECTION 08

PRC CERTIFICATE OF REGISTRATION


[Name MI. Last Name]PRC Certificate of Registration[Month dd, yyyy]


[Name MI. Last Name]Valid PRC Professional Identification Card[Month dd, yyyy]

SECTION 09

VALID PRC PROFESSIONAL IDENTIFICATION CARD


[Name MI. Last Name]Valid PRC Professional Identification Card[Month dd, yyyy]


[Name MI. Last Name]Certificated of “No” Pending Administrative case issued by PRC[Month dd, yyyy]

SECTION 10

CERTIFICATE OF “NO” PENDING ADMINISTRATIVE CASE ISSUED BY PRC


[Name MI. Last Name]Certificated of “No” Pending Administrative case issued by PRC[Month dd, yyyy]

TO BE UPDATEDBY

IIEE NATIONAL


[Name MI. Last Name]Certificate of Good Standing Issued by IIEE[Month dd, yyyy]

SECTION 11

CERTIFICATE OF GOOD STANDING ISSUED BY IIEE


[Name MI. Last Name]Certificate of Good Standing Issued by IIEE[Month dd, yyyy]

TO BE UPDATEDBY

IIEE NATIONAL


[Name MI. Last Name]Original Copy of Valid NBI Clearance[Month dd, yyyy]

SECTION 12

ORIGINAL COPY OF VALID NBI CLEARANCE


[Name MI. Last Name]Original Copy of Valid NBI Clearance[Month dd, yyyy]


[Name MI. Last Name]Signed Statement of Compliance with Code of Ethics[Month dd, yyyy]

SECTION 13

SIGNED STATEMENT COMPLIANCE WITH CODE OF ETHICS (NOTORIZED)


[Name MI. Last Name]Signed Statement of Compliance with Code of Ethics[Month dd, yyyy]

STATEMENT OF COMPLIANCE WITH CODE OF ETHICS

I, [NAME MIDDLE NAME LAST NAME], of legal age, Filipino citizen, single, with

postal address at [Home address], hereby depose and state in accordance with

law, that I will abide and comply with the principles enshrined in the Code of

Ethics of the Electrical Engineering profession.

[Name Middle Name Last Name][Month dd, yyyy]

Subscribed and sworn to before me this ______day of ___________ 20__ at ______________, affiant exhibited to me his Community Tax Certificate No. ___________ issued at [Place of Issue] on [Month dd, yyyy]

(Person Administering Oath)Doc. No. _________Page No. _________Book No. _________Series of [yyyy]


[Name MI. Last Name]Recent Four (4) Passport Size Pictures[Month dd, yyyy]

SECTION 14

RECENT FOUR (4) PASSPORT SIZE PICTURES


[Name MI. Last Name]Recent Four (4) Passport Size Pictures[Month dd, yyyy]

MARCH D. MATIENZO MARCH D. MATIENZO

MARCH D. MATIENZO MARCH D. MATIENZO


[Name MI. Last Name]Copy of Professional Tax Receipt (PTR)[Month dd, yyyy]

SECTION 15

PAYMENTS


[Name MI. Last Name]Payments[Month dd, yyyy]

TO BE UPDATEDBY

IIEE NATIONAL