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ME Form

This document is an application form for accreditation of DPWH Materials Engineers. It requests information such as name, contact details, education history, PRC license details, and employer information. The instructions explain that applicants must submit the form along with requirements like ID card and appointment documents at least 30 days before the scheduled exam. The exam coverage includes construction materials specifications, testing procedures, quality control practices and responsibilities of materials engineers.

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83 views2 pages

ME Form

This document is an application form for accreditation of DPWH Materials Engineers. It requests information such as name, contact details, education history, PRC license details, and employer information. The instructions explain that applicants must submit the form along with requirements like ID card and appointment documents at least 30 days before the scheduled exam. The exam coverage includes construction materials specifications, testing procedures, quality control practices and responsibilities of materials engineers.

Uploaded by

Anonymous ErVKLh
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
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BRS,TWG Form No.

Department of Public Works and Highways


ACCREDITATION OF DPWH MATERIALS ENGINEERS

APPLICATION FORM
________________________

Date of Examination

Application Number
Previously Accredited as Contractors
Materials Engineer

Yes Accreditation No. ___________

2" x 2" Photo

No

Name :
(Last)

PRC License Number

Home Address

(First)

(Middle Name)

Valid Until
(Barangay)

(Street)

(Town/District)

Regional/District Office

Office Address

Employee ID Number

Home Tel. No.

Nationality

(Province/City)

Position
Mobile No.
Birthday

Office Tel. No.


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.

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