FORM ACPE APPLICATION FOR A PROFESSIONAL ENGINEER TO BE REGISTERED AS ASEAN CHARTERED PROFESSIONAL ENGINEER (ACPE)

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PERSONAL DETAILS FORM ACPE APPLICATION FOR A PROFESSIONAL ENGINEER TO BE REGISTERED AS ASEAN CHARTERED PROFESSIONAL ENGINEER (ACPE) (To be completed by Applicant in BLOCK LETTERS) Name:... Title :.. Please affix recent photo (Passport size) Identity Card/Passport No.: Date of Birth:. PE Registration No.: Date of Registration:. CONTACT DETAILS Home Address:.... City.. State. Postcode.... Tel. No:.... Fax No.:. E-mail :. Office Address:............ City...State..... Postcode.... Tel. No:... Fax No.:..... E-mail :...... ACADEMIC QUALIFICATIONS First Degree/University... Date of Graduation........ Discipline of Engineering:. Post Graduate Degree/University..Date of Graduation..... Discipline of Engineering:.. DISCIPLINES FOR REGISTRATION (select 1 preferred discipline for registration purpose) Civil Structural Geotechnical Environmental Mechanical Electrical Chemical Mining Others (Please Specify) 1

Signature Signature Name, Position and Address of Professional Engineer under whom served & contact no. Total Design/Office Site/field Planning/Management Other Engineering works Masters/Post graduate / study/ research/teaching Signatures of any Professional Engineers who has personal knowledge of Applicant s training or experience in the period mentioned PROFESSIONAL EXPERIENCE (in responsible charge of significant engineering work refer appendix D of MRA) A Date (mth & year) relating to each appointm ent Example: July 90 to May 95 B STATEMENT OF TRAINING & EXPERIENCE (SINCE REGISTRATION AS GRADUATE ENGINEER) State concisely Title of Position held, Name of Employer, Location and Description of each work (Make statement brief and concise, designating each work upon which engaged with or change of position separately: include some indication of magnitude and complexity of work in which engaged, your duties and degree of responsibility) If necessary additional sheets may be attached. C Experience area (in months) D1 D2 D3 D4 D5 E Total Month 2

DECLARATION I hereby declare that: I have had years of practical experience in engineering and have complied with Article 3 of ASEAN Mutual Recognition Arrangement (MRA) on Engineering Services. I am a Professional Engineer ** YES NO I meet all the requirement as stated in Article 3 of the ASEAN Mutual Recognition Arrangement (MRA) No disciplinary action have been taken against me I am not a bankrupt Date:. (Signature) Completed application form and payment should be sent to:- The Monitoring Committee ASEAN Chartered Professional Engineer Register c/o Board of Engineers Malaysia 17 th Floor JKR HQ Building Jalan Sultan Salahuddin 50580 Kuala Lumpur Tel.: 03-26912090 **tick where applicable 3

ARTICLE 3 RECOGNITION, QUALIFICATIONS, AND ELIGIBILITY 3.1 Qualifications to Become an ASEAN Chartered Professional Engineer (ACPE) A Professional Engineer who possesses the following qualifications: 3.1.1 completed an accredited engineering degree recognised by the professional engineering accreditation body whether in the Country of Origin or Host Country or assessed and recognised as having the equivalent of such a degree; 3.1.2 possess a current and valid professional registration or licensing certificate to practice engineering in the Country of Origin issued either by the Professional Regulatory Authority (PRA) of the ASEAN Member Countries and in accordance with its policy on registration/licensing/certification of the practice of engineering or the Monitoring Committee pursuant to Article 4.2.2 and item 1.2 of Appendix II of this Arrangement; 3.1.3 acquired practical and diversified experience of not less than seven (7) years after graduation, at least two (2) years of which shall be in responsible charge of significant engineering work as stipulated in Appendix IV, D - Example IV; 3.1.4 in compliance with Continuing Professional Development (CPD) policy of the Country of Origin at a satisfactory level; and 3.1.5 obtained certification from the Professional Regulatory Authority (PRA) of the Country of Origin with no record of serious violation on technical, professional or ethical standards, local and international, for the practice of engineering. is eligible to apply to the ASEAN Chartered Professional Engineer Coordinating Committee (ACPECC) to be registered as an ASEAN Chartered Professional Engineer (ACPE) under the ASEAN Chartered Professional Engineers Register (ACPER). 3.2 ASEAN Chartered Professional Engineer (ACPE) A Professional Engineer who possesses the above qualifications and complies with the Guidelines on Criteria and Procedures as per Appendix II and satisfies the Assessment Statement as per Appendix III, may, upon acceptance and payment of fees, be emplaced on the ASEAN Chartered Professional Engineers Register (ACPER) and accorded the title of ASEAN Chartered Professional Engineer (ACPE). An ASEAN Chartered Professional Engineer (ACPE) shall practice engineering only in the specific discipline or disciplines in which he/she has been adjudged to be competent under this Arrangement. 3.3 Eligibility of an ASEAN Chartered Professional Engineer (ACPE) to Practice in a Host Country 3.3.1 An ASEAN Chartered Professional Engineer (ACPE) shall be eligible to apply to the Professional Regulatory Authority (PRA) of a Host Country to be registered as a Registered Foreign Professional Engineer (RFPE). The applicant shall submit with his application a sworn undertaking to: (a) be bound by local and international codes of professional conduct in accordance with the policy on ethics and conduct established and enforced by the Country of Origin; 4

(b) (c) be bound by prevailing laws and regulations of the Host Country; and work in collaboration with local Professional Engineers in the Host Country subject to domestic laws and regulations of the Host Country governing the practice of engineering thereto. 3.3.2 Upon approval, the successful ASEAN Chartered Professional Engineer (ACPE) applicant shall, subject to domestic laws and regulations and where applicable, not making submissions to statutory authorities of the Host Country, be permitted to work as a Registered Foreign Professional Engineer (RFPE), not in independent practice, but in collaboration with designated Professional Engineers in the Host Country, within such area of his own competency as may be recognised and approved by the Professional Regulatory Authority (PRA) of the Host Country. (the full version of the MRA on Engineering Services may be viewed in the website ASEAN/MITI) 5