AER-Form-Feb 2017.docx - ASEAN ENGINEER APPLICATION FORM AND GUIDELINES FOR APPLICANTS(All entries must be computer printed or typewritten FORM 1

AER-Form-Feb 2017.docx - ASEAN ENGINEER APPLICATION FORM...

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ASEAN ENGINEER APPLICATION FORM AND GUIDELINES FOR APPLICANTS (All entries must be computer printed or typewritten) FORM 1: APPLICANT’S CHECKLIST APPLICANT’S LETTER OF INTENT ADDRESSED TO THE PTC PRESIDENT PROFESSIONAL ORGANIZATION’S ENDORSEMENT SIGNED BY THE NATIONAL PRESIDENT CERTIFICATE OF GOOD STANDING FROM THE ACCREDITED NATIONAL APO &MEMBER OF PTC CERTIFICATE OF REGISTRATION VALID PROFESSIONAL IDENTIFICATION CARD COPY OF DIPLOMA (UNDERGRADUATE AND GRADUATE ENG’G) – CERTIFIED TRUE COPY CURRICULUM VITAE PERSONAL DETAILS (FORM 2) SEVEN (7) YEARS PROFESSIONAL EXPERIENCE (FORM 3) TWO (2) YEARS PROFESSIONAL EXPERIENCE (FORM 4) CONTINUING PROFESSIONAL DEVELOPMENT (FORM 5) CODE OF ETHICS (FORM 6) APPLICANT’S DECLARATION (NOTARIZED) (FORM 7) FOR PTC USE ONLY. APPLICANT NAME: ______________________________________________________________________ _______ APPLICANT NO. ____________________________ __ SUBMITTED BY: _________________________ ___ APPLICATION FEE LIFE REGISTRATION FEE DATE : _________________________ ___ CASH: CASH: RECEIVED BY : _________________________ ___ CHECK: CHECK: DATE : _________________________ ___ DEPOSIT: DEPOSIT: ACTIONS : OR NUMBER: OR NUMBER: DATE : _________________________ ___ DATE: DATE: Instructions: APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________ 1 | Page 11 Ver16.0
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ASEAN ENGINEER APPLICATION FORM AND GUIDELINES FOR APPLICANTS (All entries must be computer printed or typewritten) 1. Submit three (3) sets of hard copies of all the completed application documents listed in Form 1 using A4 size white bond paper of not less than substance (80 gsm) thickness. Photocopies of large documents shall be reduced accordingly. Each set shall be submitted using a BLUE CLEAR BOOK FOLDER, COMPLETE WITH TABLE OF CONTENTS AND TABS. 2. Submit a softcopy of all the completed application documents in item 1 above and all supporting documents. Include an index file of all documents. 3. All pages of the application must be signed and dated by the applicant and shall be delivered or mailed to: Philippine Technological Council, Inc. (PTC) Rooms405-406 National Engineering Center, Alfredo Juinio Hall, Osmeña Ave. corner F. Agoncillo St., University of the Philippines, Diliman, Quezon City. Philippines 1101. Tel/Fax no: (0632) 926-6893. 4. E-Mailed Applications or Computer-Generated Signatures on the Application Forms Will Not Be Accepted. 5. Application must be submitted together with a non-refundable Application Fee of P 2,500.00. FORM 2: PERSONAL DETAILS ASEAN ENGINEER 1. PERSONAL DETAILS Title: Prof Dr Eng Mr Mrs Surname:_________________________________________________________ Given Names (in full):__________________________________________________________ Middle Name:__________________________________________________________ Date of Birth:__________________________________________________________ Name of Employer:__________________________________________________________ Private Address ( Preferred mailing address): Business Address ( Preferred mailing address): Postal Code:________Country:_____________________ Postal Code:________Country:_______________________ Tel No. ( )______________Fax:( )_____________ Tel No. ( )______________Fax:( )______________ E-mail:_________________________________________ Mobile No:________________________________________ 2. EDUCATIONAL/PROFESSIONAL QUALIFICATIONS (Use additional sheets if necessary) Academic Level Degree/Title Conferred University/College/Add ress Dates Attended: Undergraduate Graduate APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________ 2 | Page 11 Ver16.0 Please paste/computer print recent (6mos) passport size (50mm x 50mm) colored picture with white background.
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