Association of Structural Engineers of The Philippines, Inc

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ASSOCIATION OF STRUCTURAL

ENGINEERS OF THE PHILIPPINES,


2” X 2”
INC. colored photo
Suite 713, Future Point Plaza 1 Condominium,
112 Panay Avenue, Quezon City Philippines
Tel. No.: 7751-6531 / Mobile No.: 0917-823-7739
Email: [email protected]
Website: www.aseponline.org

MEMBERSHIP FORM / EVALUATION RATING FORM

Control/ID Number: _________________________


Name of Applicant: _______________________________________________________________

Membership Screening Board Member MSB1 : _____ MSB2: _____ MSB CHAIR:
___
Item No. Evaluation Criteria No. of Rated No. of Rated No. of Rated
Years years Years years Years years
1.0 Age (at the time of application)
* ASSOCIATE – at least 25 years old
* REGULAR – at least 30 years old
2.0 Structural Engineering Practice Experience
*ASSOCIATE – at least three (3) continuous years of relevant structural engineering practice
* REGULAR – at least seven (7) continuous years of relevant structural engineering practice, five (5) of which must be
immediately prior to application OR at least ten (10) CONTINUOUS years FULL-TIME academic practice in teaching
structural engineering subjects**
** Attach proof of full-time teaching experience for the last ten (10) years for evaluation
2.1 Structural Design Experience
* No. of years in structural design = no. of
equivalent rated years
2.2 Design Management Experience
* ASSOCIATE/REGULAR
Below 5 years experience 0.00 rated
year
5 years to 9 years 1.00 rated
experience year
10 years or more 2.00 rated
year
2.3 Construction Supervision,
Construction Management
Experience
* ASSOCIATE/ REGULAR
Below 3 years experience 0.00 rated
year
3 years to 5 years 0.25 rated
experience year
5 years to 7 years 0.50 rated
experience year
8 years to 10 years 0.75 rated
experience year
10 years or more 1.00 rated
year
2.4 Teaching Experience
10 years or more 7.00 rated
year

ASEP/MSB Membership Evaluation Rating Form/rev.04 – P a g e | 1


3.0 Post-Graduate Studies related to
Civil/Structural Engineering:
* REGULAR – degree is equivalent to the
following years of active practice:
Master’s Degree** Two (2) rated years
Doctorate Three (3) rated
Degree** years
** Attach corresponding diploma

4.0 Continuing Professional


Development
*ASSOCIATE – accumulated twenty (20) CPD
units for the last four (4) years prior to
application OR at least twelve (12) units of
Master’s Degree in Civil Engineering Major in
Structural Engineering (Attached Transcript of
Records)
*REGULAR – accumulated sixty (60) CPD units
for the last five (5) years prior to application
* UPGRADE TO REGULAR – accumulated eighty
(80) CPD units, twenty (20) of which is credited
as an ASSOCIATE Membership requirement
(CPD Units from ASEP accredited
conferences/seminars/ conventions or **other
structural related conferences)
** 1. Only structural topics of the entire
seminar shall be considered/credited
** 2. Software workshop will only be credited a
maximum of 16 hours)
5.0 Endorsement of three (3) active
REGULAR members or FELLOWS of
ASEP

TOTAL NUMBER OF RATED YEARS

REMARKS/RECOMMENDATION
Note: An applicant who is a PICE Structural Specialist Member
may be accepted as a REGULAR member

Signature of MSB Member

* APPROVAL OF THE MEMBERSHIP SCREENING BOARD

ASEP/MSB Membership Evaluation Rating Form/rev.04 – P a g e | 2


To: Association of Structural Engineers of the Philippines, Inc.
Through: ASEP Secretariat

Dear Sir/Madam,
The undersigned wishes to apply for membership ☐ as an ASSOCIATE MEMBER ☐ as a REGULAR MEMBER
☐ UPGRADE to REGULAR MEMBER.
The undersigned, when accepted, confirms to abide by the By Laws of the ASEP. Any information found to be false is a
ground for the disapproval of this application or revocation of membership if found after approval.

Applicant’s Name and Signature


Date : Received by :

PRC Reg. No. : Validity :

Checklist for Membership Application: (Please tick checklist when included / submitted)
☐ 1 Evaluation Rating Form (rev2013.09)

☐ 2 Completely filled-in MSB Membership Application Form (rev2013.09)

☐ 3 Two (2) pcs. of 2” x 2” ID pictures, colored (taken within the last six months)

☐ 4 Photocopy of PRC ID (front and back)

☐ 5 At least minimum three (3) consecutive years of structural design experience for ASSOCIATE Members or
minimum five (5) consecutive years of structural design experience for REGULAR Members / Upgrade to
REGULAR Members
☐ 6 Endorsement from three (3) ASEP Regular Members in good standing and/or ASEP Fellows as References
☐ 7 Comprehensive curriculum vitae, certified and updated resume as supporting attachment to the MSB
Application Form
☐ 8 Photocopy of Employment Certificate, certified true copy

☐ 9 Photocopy of Diploma / Transcript of Records (Undergraduate and post-graduate courses)

☐ 10 Photocopy of Certificates for seminars / workshop / conferences attended with program included

☐ 11 Electronic file copies of all submitted documents in PDF format saved in USB.

Important Notes:
All documents to be submitted by the applicant for membership shall be arranged in the order as indicated above and shall be
compiled in the standard folder prescribed by the MSB.
Applicant should submit the above documents in support of the application and a non-refundable processing fee of PHP
1,000.00 (USD 25).
Upon acceptance of the application, Entrance fee of PHP 2,000.00 (USD 40) and Two-year Annual Membership of PHP 2,000.00
(USD 50) for ASSOCIATE Member, or PHP 2,000.00 (USD 50) and Two-year Annual Membership of PHP 3,000.00 (USD 80) for
REGULAR Member.
Kindly make your draft/cheque payable to the Association of Structural Engineers of the Philippines, Inc. (ASEP).
Bank Name: BANCO DE ORO (BDO)
Branch: SCT. ALBANO – QUEZON AVE.
Peso Account No.: 003930017037
US Dollar Account No: 103930155146

ASEP/MSB Membership Evaluation Rating Form/rev.04 – P a g e | 3


ASSOCIATION OF STRUCTURAL
ENGINEERS OF THE PHILIPPINES,
INC. 2” x
Suite 713, Future Point Plaza 1 Condominium,
112 Panay Avenue, Quezon City Philippines colored
Tel. No.: 7751-6531 / Mobile No.: 0917-823-7739
Email: [email protected]
Website: www.aseponline.org

MEMBERSHIP APPLICATION FORM


Control/ID Number :
Date Form Submitted :
Current Occupation :
Name of Company/Firm/Organization :

I. PERSONAL DETAILS: (Please use BLOCK LETTERS)


NAME
DATE OF BIRTH
SEX
NATIONALITY
PASSPORT NO.
HOME ADDRESS

CONTACT PHONE
FACSIMILE
E-MAIL
MOBILE
WORK ADDRESS

CONTACT PHONE
FACSIMILE
E-MAIL
PROFESSION

II. ENGINEERING DISCIPLINE:


INSTITUTION WHERE SPECIALIZATION /
DEGREE COMPLETED YEAR COMPLETED
DEGREE OBTAINED FIELD OF EXPERTISE

ASEP/MSB Membership Evaluation Rating Form/rev.04 – P a g e | 4


III. ENGINEERING PRACTICE:
LICENSURE EXAM DATE TAKEN:

REGISTRATION NO. DATE ISSUED


LICENSURE EXAM DATE TAKEN:

REGISTRATION NO. DATE ISSUED

IV. PROFESSIONAL EXPERIENCE:

YEAR POSITION RESPONSIBILITY PROGRAM/PROJECT

Detailed Description of Responsibilities (make additional copy of this tabulation as extra


sheet needed following the same format)
Applicant’s Role
Applicant’s Engineering Work

V. SIGNIFICANT ENGINEERING WORK:


BENEFICIARY
YEAR RESPONSIBILITY PROGRAM/ PROJECT
CLIENTELE

Detailed Description of Responsibilities (make additional copy of this tabulation as extra


sheet needed following the same format)
Applicant’s Role
Applicant’s Engineering Work

ASEP/MSB Membership Evaluation Rating Form/rev.04 – P a g e | 5


VI. PROJECT/S: (Past and present Engineering Projects)

Name/Location RESPONSIBILITY Duration and Cost CLIENTELE

VII. CONTINUING PROFESSIONAL DEVELOPMENT (CPD) (make additional copy of this tabulation
as extra sheet needed following the same format)
Program Description related Credit Units / Inclusive Dates of CPD
Name of Provider / Organizer
to Responsible Charge Hours Program and Venue

VIII. REFERENCES (As a requirement of the Revised Implementing Rules and Regulations of the Bylaws,
applicant should submit names of three (3) Regular Members, in good standing, and/or Fellows of the
Association. The section below should be filled in by your named References.)
Name of Reference with Reference Contact Details Reference Remarks / Comments from the
signature above name (Phone/Mobile/ E-mail) ASEP ID No. Reference

Signed:

Ref. Name:

Signed:

Ref. Name:

Signed:

Ref. Name:

Note: Members’ endorsements are voluntary endorsements. Paid endorsements shall not be allowed.

ASEP/MSB Membership Evaluation Rating Form/rev.04 – P a g e | 6


MEMBERSHIP APPLICATION FORM – ADDITIONAL SHEETS (WHEN NECESSARY)
Applicant’s Name :

IV. PROFESSIONAL EXPERIENCE:

YEAR POSITION RESPONSIBILITY PROGRAM/PROJECT

ASEP/MSB Membership Evaluation Rating Form/rev.04 – P a g e | 7


V. SIGNIFICANT ENGINEERING WORK:

YEAR RESPONSIBILITY PROGRAM/ PROJECT BENEFICIARY CLIENTELE

ASEP/MSB Membership Evaluation Rating Form/rev.04 – P a g e | 8


VI. PROJECT/S: (Past and present Engineering Projects)

Name / Location RESPONSIBILITY Duration and Cost CLIENTELE

ASEP/MSB Membership Evaluation Rating Form/rev.04 – P a g e | 9


VII. CONTINUING PROFESSIONAL DEVELOPMENT (CPD) (make additional copy of this tabulation
as extra sheet needed following the same format)
Program Description related Credit Units / Inclusive Dates of CPD
Name of Provider / Organizer
to Responsible Charge Hours Program and Venue

ASEP/MSB Membership Evaluation Rating Form/rev.04 – P a g e | 10

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