Scribd
Upload
36 views

Ccme Appform

Uploaded by

Alex Naval
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
36 views

Ccme Appform

Uploaded by

Alex Naval
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

QMS-BRS, TWG Form No.

18
5th Revision
Department of Public Works and Highways
Bureau of Research and Standards
ACCREDITATION OF CONTRACTORS’/CONSULTANTS’ MATERIALS ENGINEERS
APPLICATION FORM FOR WRITTEN EXAMINATION
_____________________
Date of Examination

1. Recent passport
APPLICATION NUMBER - photo with white
background.
[Two (2) pieces].

2. Formal attire.

NOTE: The examination is STRICTLY for Civil Engineers employed by private companies. 3. No Name tag.
Government, GOCC and Job Order Engineers are NOT ALLOWED to take the
written examination. The BRS shall invalidate any examination results of examinees 4. Strictly no selfie
photo.
eventually found as Government, GOCC and Job Order engineers.

Name : NAVAL ALEX VARGAS JR.


(Surname) (Firstname) (Middlename) (Suffix, if )any)

PRC License Number : 0196808 Valid Until 04/04/2026

Home Address : 1027 BRGY. SANTO DOMINGO, CITY OF BIÑAN, LAGUNA

Office Name : DMCI HOMES CORPORATE CENTER

Office Address : 1321 ST., BRGY. BANGKAL, MAKATI CITY PH 1233


Position : CIVIL ENGINEER TIN No. 746-774-375-000
Mobile No. : 09777927858 / 09071121107 Office Tel No. 555-7777

Nationality : FILIPINO Sex MALE Civil Status SINGLE Birthdate 04/04/1999


Education (Limit to Tertiary Level Up)
(Degree) (School) (Year Graduated)
BS CIVIL ENGINEERING UNIVERSITY OF PERPETUAL HELP SYSTEM LAGUNA 2020

Preferred Venue of Examination

Manila Cebu City Davao City

I certify to the correctness of the foregoing.

Checked by:

____________________
Position
(DPWH QAHD) Personnel)

________________ Applicant’s Signature


Date Sign inside the box
INSTRUCTIONS

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

2. Attach to this Application Form the following requirements:

a. Certificate of Employment (COE), if employed, a duly Notarized Affidavit


indicating that he/she is:
 currently unemployed;
 not connected with any government agency; and
 not working abroad or about to work abroad any time soon.

b. Photocopy of valid Professional Regulation Commission (PRC) License as Civil


Engineer (not expired and with signature).

c. Two (2) pieces recent passport size photo with white background.
 Formal attire.
 No Name tag.
 Strictly no selfie photo.

3. Submit the Application Form and the requirements to:

THE CHIEF
Quality Assurance and Hydrology Division (QAHD)
Any DPWH Regional Office

4. Application forms must be received, checked, stamped and sealed by the


DPWH Regional Office and submit to Bureau of Research and Standards (BRS) at
least thirty (30) working days before the scheduled accreditation examination.

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


DPWH Regional 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