0% found this document useful (0 votes)
56 views2 pages

ME Form

This document is an application form for accreditation as a DPWH Materials Engineer. It requests information such as name, PRC license number, home and office addresses, education history. Instructions are provided on how to fill out and submit the application along with requirements like ID card and appointment copies. The examination will cover construction materials specifications, testing procedures, quality control practices, and the duties of materials engineers. Applicants must submit at least 30 days before the scheduled exam.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
56 views2 pages

ME Form

This document is an application form for accreditation as a DPWH Materials Engineer. It requests information such as name, PRC license number, home and office addresses, education history. Instructions are provided on how to fill out and submit the application along with requirements like ID card and appointment copies. The examination will cover construction materials specifications, testing procedures, quality control practices, and the duties of materials engineers. Applicants must submit at least 30 days before the scheduled exam.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Department of Public Works and Highways BRS,TWG Form No.

ACCREDITATION OF DPWH MATERIALS ENGINEERS

APPLICATION FORM
________________________
Date of Examination

Application Number
Previously Accredited as Contractors’ Yes Accreditation No. ___________ 2" x 2" Photo
Materials Engineer

No

Name :
(Last) (First) (Middle Name)

PRC License Number : Valid Until

Home Address :
(Street) (Barangay)

(Town/District) (Province/City)

Regional/District Office :

Office Address :

Employee ID Number : Position

Home Tel. No. : Mobile No. Office Tel. No.

Nationality : Birthday Civil Status

Education
(Limit to Tertiary Level Up)
Degree School Year Graduated

I certify to the correctness of the foregoing.


__________________________________
Signature over printed name

____________________________
Date
INSTRUCTIONS

1. Fill-in (type or print) all the applicable spaces of the Application Form
legibly

2. Attach to this Application Form the following requirements:

a. Xeroxed copy of valid Professional Regulation Commission


(PRC) Identification Card as Civil Engineer (not expired and with
signature)
b. Xeroxed copy of latest Appointment
c. Two 2" x 2" recent photographs (one to be pasted in the
Application Form and the other is for Notice of Examination
Schedule)
d. One 1" x 1" photograph

3. Submit the Application Form and the requirements to:

The Chief
Quality Assurance and Hydrology Division
Any Regional Office of the Department of Public Works and Highways

4. Application forms must be submitted at least thirty (30) days before the
scheduled accreditation examination.

5. Applicants shall obtain the Notice of Examination Schedule from the


DPWH Office where the application was filed within, one (1) week
before the scheduled examination. The notice shall confirm the date,
time and place of examination. This notice must be presented to the
DPWH examination proctor during the examination.

EXAMINATION COVERAGE

Construction materials specifications, sampling and testing procedures, test


results calculations/interpretation/evaluation, DPWH minimum testing
requirements, materials quality control terminologies/practices, duties and
responsibilities of materials engineers, and quality control
implementation/documentation.

You might also like