FORM A3 Applicant’s

current
REGISTRATION OF ENGINEERS ACT 1967 passport size
photo
REGISTRATION OF ENGINEERS REGULATIONS 1990

APPLICATION FOR REGISTRATION AS AN INSPECTOR OF WORKS

(To be completed by the Applicant in BLOCK LETTERS)

SECTION A (to be filled in by All)

MOHAMMAD ARIF BIN SULAIMAN
Name: …………………………………………………………………………………………………………………...
16/08/1967
Gender: Male X Date of Birth:…………………………………………………..
BRUNEI DARUSSALAM
Female Place of Birth:………………………………………………….
MALAYSIAN 670816-71-5053
Nationality:……………………………… Identification Card No.: ………………………………………………...
NO 33, JALAN SEJAMBAK 1, TAMAN BUKIT DAHLIA
Address in Malaysia (if any): ………………………………………..……………………………………….…….…..
81700 PASIR GUDANG, JOHOR
…………………………………………………………………………………………………………………...………
07 - 255 6272 012 - 728 3834
Tel. No.: …………………….…… Mobile Phone No.: …..……………………. Fax No.: ………………………...

Postal Address (if different from above): ……………………………………………………….……………………...

………………………………………………………………………….………………………………..………………
mohammadarif.sulaiman@yahoo.com
E-mail Address: ………………………………………………..………………………………………………………..
CSWIP 3.2 SENIOR WELDING INSPECTOR AND AWS CERTIFIED WELDING INSPECTOR WITH DIPLOMA OF
Qualifications: …………………………………….…………………………………………….………………………
INTERNATIONAL WELDING INSPECTOR AND EUROPEAN WELDING INSPECTION PRACTITIONER
……………………………………………………………………………………………………….…………….…….

SECTION B (to be filled in by Non-Malaysian)

Passport No.: ………………………………………. Place of Issue: ……………………………………………….

Date of Issue: ……………………………………… Date of Expiry: ………………………………………………

Country of Birth: ………………………………….. Nationality: ………………………………………………….

Address in Country of Origin: ……………………………………………………………………………….…………

……………………………………………………………………………………………………….…………….…….

I have been a Permanent Resident of Malaysia since……………... Identification Card No. : …………..

PENALTY
Section 24(a) of the Registration of Engineers Act 1967: "Any person, sole proprietorship, partnership or body corporate who procures
or attempts to procure registration or a certificate of registration under this Act by knowingly making or producing or causing to be
made or produced any false or fraudulent declaration, certificate, application or representation whether in writing or otherwise, shall be
guilty of an offence and shall, on conviction, be liable to a fine not exceeding fifty thousand ringgit, or to imprisonment for a term not
exceeding three years, or to both.".

(12.9.2015)
-1-
 FORM A3

DECLARATION TO BE SIGNED BY THE APPLICANT

a) I, the undersigned, apply for registration as an Inspector of Works and if I am registered, I agree to abide by –

i. The Registration of Engineers Act 1967 and The Registration of Engineers Regulations 1990; and

ii. Notifications and Circulars issued by the Board of Engineers Malaysia.

b) I, hereby authorize the Board of Engineers Malaysia to seek clarification on any information submitted in any
manner and by any means as it deems fit and proper.

Date: ……………………… …… .
(Signature of Applicant)

Note:
 Applicant to submit certified copies (by a Professional Engineer recognized by the Board of
Engineers Malaysia) of the following:

o Diploma scroll and official transcripts

o Degree scroll and official transcripts (if any)
o Identification Card
o Permanent Resident and/or Passport (for Non-Malaysian)

 The application shall be accompanied with a non-refundable processing fee for the amount of
RM50.00 and a registration fee for the amount of RM50.00 in the form of money order, postal order,
bank draft, cheque or any other form as determined by the Board, made payable to the Board of
Engineers Malaysia.

For Office Use Only

Start Date:……………………………………………... Application Status:…………………………………….……

Application Date:…………………………………..…. Current Status:………………………………………...……

Rejection Date:……………………………………….. Circulation Date:………………………………………..…..

Received Date:………………………………………... Approval Date:………………………………………..….....

Note Date:………………………………………….…. List Status:……………………………………………..……

Suffix:…………………………………………………

(12.9.2015)
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 APPLICATION FOR REGISTRATION AS AN INSPECTOR OF WORKS

FORM W1

DECLARATION FORM

MOHAMMAD ARIF BIN SULAIMAN

Name : ……………………………………..…………………………..…….………….…..
670816-71-5053
Identification Card No: ……………………………………..………………………………………………..
NO 33, JALAN SEJAMBAK 1, TAMAN BUKIT DAHLIA
Address in Malaysia: ……………………………………..………………………………………………..
81700 PASIR GUDANG, JOHOR
……………………………………..………………………………………………..

……………………………………..………………………………………………..
07-255 6272 012-728 3834
Tel. No: ………………….. Mobile: …………………….. Fax: …………....
mohammadarifsulaiman67@gmail.com
Email: ………………………………….…………………………………………….……..
CSWIP 3.2 SR WELDING INSPECTOR, AWS WELDING INSPECTOR,
Qualification: …………………………………..…………………………………………………..
CSWIP AUT DATA INTERPRETER
Employment Summary: Please fill in Form W2

……………………………………………………….…………………………………………………

DECLARATION BY APPLICANT

1990
I hereby declare that I have worked as an Inspector of Works since ……………………………………
PETROCHEMICAL AND OIL N GAS WELDING INSPECTION
in the field of ………………………………………………………..... The summary of employment as

Inspector of Works is detailed out in Form W2.

I certify that the information provided is, to the best of my knowledge, accurate and correct in all

respects.

Signature of Applicant:

…………………………………………..

Date: ……………………………………
 FORM W2

SUMMARY OF EMPLOYMENT

Please detail the main duties you have performed with emphasis on the most recent years
preceding your application.

MOHAMMAD ARIF BIN SULAIMAN

Name: ……………………………………………….. 670816-71-5053
Identification No: ……………………………

Date Company Position Statement of Experience Name, position

(month & year) and Reg. No.
Relating to Each under whom
Appointment served

AUG 2016 - PRESENT SAPURA ENERGY BHD AUT Inspector/ • Ensuring that works carried out were as per NAIN ADAM,
AWS CWI approved specifications and ITPs QA/QC
Pipeline • Carrying out inspection and surveillance to COORDINATOR
QC Inspector/ ensure milling/installation works were as per
Welding QC Project Specifications and in good practice
Inspector • Carrying out random inspection and
surveillance on mill and field joint coating works
on welded pipeline joints and milled LSAW pipes
• Carrying out inspections on pipes’ beveled
edges, fit-ups, welding, visual and repair works
• Reviewing RT films and AUT/NDT reports of
welded pipeline joints and milled LSAW pipes
• Preparing and compiling all relevant QA/QC
documents (Welding, Coating, NDT and
Inspection related reports and documentations)

MAR 2016 - APR 2016 TUV SUD (M) SDN BHD Third Party • Re-interpreting radiographs for any wrong ISMAWATI ISMAIL,
Radiographic interpretations, missed defects, low quality PROJECT MANAGER
Film Interpreter radiographs needing reshoots and/or missed repairs
• To inform any findings to the Main Contractor
for immediate attentions

OCT 2015 – DEC 2015 BUREAU VERITAS (M) Certifying • Ensuring that works carried out were as per HAMDAN ALHAM,
SDN BHD Authority / approved specification INY OPERATIONS
Automated • Carrying out random inspection and surveillance MANAGER,
Ultrasonic to ensure installation works were as per Project MARINE & OFFSHORE
(AUT) Inspector Specifications, IFC drawings and in good practice DIVISION
• Carrying out random inspection and surveillance
on blasting and coating works on Flowline joints
• Reviewing and certifying all relevant QA/QC
documents (Welding, NDT and Inspection related
reports and documentations)
• Witnessing and certifying other inspections and
testings as required / as per approved ITP
• Certifying Release Notes and Inspection Reports
on completed Flowlines and inspected items

HESS EXPLORATION Lead Pipeline • Carrying out lead and supervisory role on all MOHAMAD AZRAAEI
MAR 2015 – SEPT 2015
AND PRODUCTION Inspector inspectors for all discipline of QC Inspection MARDI,
MALAYSIA B.V (Material, Welding, Coating and NDT) QA/QC COORDINATOR
• To ensure that works carried out were as per
approved project specification and in compliance
with the governing Codes
• Reviewing all relevant QA/QC documents
(Welding, NDT and Inspection related reports and
documentations)
• Endorsing PQRs and WQTs
• Endorsing Final Welding and QA/QC Summary
and Pipe Tally sheets
• Keeping QA/QC documentations up to date to the
latest revisions and distributing / cascading relevant
updates to all Inspectors
• Preparing Daily Progress Reports

Where space provided is insufficient, please attach annexed sheet.

 FORM W2

SUMMARY OF EMPLOYMENT

Please detail the main duties you have performed with emphasis on the most recent years
preceding your application.

MOHAMMAD ARIF BIN SULAIMAN

Name: ……………………………………………….. 670816-71-5053
Identification No: ……………………………

Date Company Position Statement of Experience Name, position

(month & year) and Reg. No.
Relating to Each under whom
Appointment served

NOV 2014 – MAR 2015 ELITE CWI SEA SDN QC Supervisor • Carrying out supervisory role on all discipline of ZULKIFLEE SALLEH,
BHD, SECONDED TO QC Inspection (Welding, Coating and NDT) RECRUITER
PIPELINE TECHNIQUE • To ensure that works carried out were as per
LIMITED, UK approved specification
• Carrying out random inspection and surveillance
to ensure installation works were as per Project
Specifications, IFC drawings and in good practice
• Reviewing and endorsing all relevant QA/QC
documents (Welding, NDT and Inspection related
reports and documentations)
• Witnessing and verifying other inspections and
testing as required / as per approved ITP
• Issuing Release Notes on completed Multijoints
and inspected items.
• Keeping QA/QC documentations up to date to the
latest revisions and distributing / cascading relevant
QA/QC updates to all Inspectors
• Preparing MDR (Manufacturing Data Records) for
submission to Client

BUREAU VERITAS (M) Third Party • Representing DOSH HAMDAN ALHAM,

MAR 2014 – AUG 2014
SDN BHD Inspector / • Ensuring that works carried out were as per INY OPERATIONS
Automated approved specification MANAGER,
Ultrasonic • Carrying out random inspection and surveillance MARINE & OFFSHORE
(AUT) Inspector to ensure installation works were as per Project DIVISION
Specifications, IFC drawings and in good practice
• Carrying out random inspection and surveillance
on blasting and coating works on Flowline joints
• Reviewing and endorsing all relevant QA/QC
documents (Welding, NDT and Inspection related
reports and documentations)
• Witnessing, verifying and endorsing Hydrostatic
Testing on completed Flowlines
• Witnessing and verifying other inspections and
testings as required / as per approved ITP
• Issuing Release Notes on completed Flowlines and
inspected items

Where space provided is insufficient, please attach annexed sheet.

 FORM W2

SUMMARY OF EMPLOYMENT

Please detail the main duties you have performed with emphasis on the most recent years
preceding your application.

MOHAMMAD ARIF BIN SULAIMAN

Name: ……………………………………………….. 670816-71-5053
Identification No: ……………………………

Date Company Position Statement of Experience Name, position

(month & year) and Reg. No.
Relating to Each under whom
Appointment served

DEC 2013 – FEB 2014 APPLUSS VELOSI, Senior • Representing Owner YOHANN DOPPIA,
SECONDED TO Structural / • Witnessing and verifying the establishment of RECRUITER
APACHE ENERGY Piping Inspector Welding Procedure Specifications
LIMITED • Witnessing and qualifying welders through
Welder Qualification Tests
• Ensuring that works carried out were as per
approved specification
• Carrying out random inspection and surveillance
to ensure fabrication works (structural and Super
Duplex SS piping) were as per Project Specifications,
IFC drawings and in good practice
• Carrying out random inspection and surveillance
on blasting and painting/coating works on
structural members and piping joints
• Highlighting to upper management of any site
observations or practices which do not conform to
approved procedures
• Reviewing and endorsing all relevant QA/QC
documents (NDT and Inspection related reports
and documentations)
• Witnessing and verifying inspection and testing as
required / as per approved ITP

MAR 2013 – OCT 2013 RM LEOPAD SDN BHD, Senior Welding • Representing Client JULIANA M
SECONDED TO Inspector • Ensuring that works carried out were as per FERNANDEZ,
CAMERON Client’s specification and agreed Codes and RECRUITER
INTERNATIONAL Standards
MALAYSIA SYSTEM • Carrying out random/full inspection to ensure
SDN. BHD fabrication works were as per Project Specifications,
IFC drawings and in good practice
• Carrying out random inspection and surveillance
on blasting and painting/coating works on
structural members and piping joints
• Issuing NCRs if the need arises
• Reviewing and endorsing all relevant QA/QC
documents (NDT and Inspection related reports
and documentations)
• Witnessing and verifying inspection and testing as
required / as per approved ITP (NDT, PWHT, FAT
and SIT)

Where space provided is insufficient, please attach annexed sheet.

 FORM W2

SUMMARY OF EMPLOYMENT

Please detail the main duties you have performed with emphasis on the most recent years
preceding your application.

MOHAMMAD ARIF BIN SULAIMAN

Name: ……………………………………………….. 670816-71-5053
Identification No: ……………………………

Date Company Position Statement of Experience Name, position

(month & year) and Reg. No.
Relating to Each under whom
Appointment served

MAR 2010 – FEB 2013 BUREAU VERITAS (M) Senior Welding • Representing Owner HAMDAN ALHAM,
SDN. BHD, SECONDED Inspector / • Ensuring that works carried out were as per INY OPERATIONS
TO SABAH SHELL Company Site Client’s specification and agreed Codes and MANAGER,
PETROLEUM CO, LTD Inspector Standards MARINE & OFFSHORE
• Carrying out random/full inspection to ensure DIVISION
fabrication works were as per Project Specifications,
IFC drawings and in good practice
• Carrying out random inspection and surveillance
on blasting and painting/coating works on
structural members and piping joints
• Issuing NCRs if the need arises
• Reviewing and endorsing all relevant QA/QC
documents (NDT and Inspection related reports
and documentations)
• Witnessing and verifying inspection and testing as
required / as per approved ITP (NDT, PWHT, FAT
and SIT

Senior Inspector / • Representing Owner/Client HAMDAN ALHAM,

MAR 2005 – FEB 2010 BUREAU VERITAS (M)
Third Party • Witnessing and endorsing the establishment of INY OPERATIONS
SDN. BHD
Inspector / Welding Procedure Specifications MANAGER,
Certifying • Witnessing and qualifying welders through Welder MARINE & OFFSHORE
Authority Qualification Tests DIVISION
• Ensuring that works carried out were as per
Client’s specification and agreed Codes and
Standards
• Carrying out random/full inspection to ensure
fabrication works were as per Project Specifications,
IFC drawings and in good practice
• Carrying out Source/Material Inspections
• Carrying out inspections on blasting/painting/
coating works (structural beams, tubes and
members, pipes and piping joints, Flowlines and
Risers etc)
• Issuing NCRs if the need arises
• Reviewing and endorsing all relevant QA/QC
documents (Project Procedures, ITPs, NDT,
Inspection and fabrication related documentations)
• Reviewing and endorsing radiographs for
Radiographic Testing and strip charts for Automated
Ultrasonic Testing
• Witnessing and verifying inspection and testing as
required / as per approved ITP (NDT, mechanical
test, hydro/pneumatic/leak test, FAT/SIT tests,
calibration of equipments etc)
• Reviewing Final Documentations
• Issuing Release Notes, Inspection or Final
Acceptance Certificates as required or applicable

Where space provided is insufficient, please attach annexed sheet.

 FORM W2

SUMMARY OF EMPLOYMENT

Please detail the main duties you have performed with emphasis on the most recent years
preceding your application.

MOHAMMAD ARIF BIN SULAIMAN

Name: ……………………………………………….. 670816-71-5053
Identification No: ……………………………

Date Company Position Statement of Experience Name, position

(month & year) and Reg. No.
Relating to Each under whom
Appointment served

JAN 2004 – MAR 2005 SOFT TRIANGLE SDN. QC / Welding • To make sure that all welding consumables were HARUN ACHIN,
BHD. (seconded to Sime Inspector handled as per approved procedures and all welding RECRUITER
Darby Engineering Sdn. works were carried out by qualified welders, in good
Bhd.) practice and as per approved welding procedure
specifications
• To carry out material verification inspection on
material used and visual inspection on Fit-Ups and
completed welds against joint details and drawings
• To diagnose and report the findings as per
accepted Codes and Specifications and approved
Inspection and Testing Program
• Issuing NCRs if the need arises
• Cross-check reports (along with NDT reports) for
submission to Client
• Monitoring work progress

JUL 2002 – DEC 2003 CITS SERVICES SDN. Welding / QC / • Preparing WPS and qualifying welders based on WILLIAM BILL COOK,
BHD NDT Inspector the approved WPS MANAGING DIRECTOR
• To make sure that all welding works were carried
out in good practice and as per approved welding
procedure specifications and drawings
• To carry out visual inspection on the finished weld
and also in-between passes of the welding
• To diagnose and report the findings as per
accepted Codes and Specifications
• Issuing NCRs whenever required
• To prepare and cross-check reports (along with
NDT reports) for submission to Client
• To inspect the blasting, painting/coating and or
galvanizing works
• Reviewing and interpreting RT films
• Coordinating and/or witnessing/verifying NDT
works

FEB 1999 – JUN 2001 BZ CONSULTING Assistant Project • Assisting the Project Manager in managing day to IR HANAFI NASIR,
ENGINEERS Manager day progress and activities of the project OPERATIONS
• Coordinating with all parties (the Owner, MANAGER
Consultants and Contractors) to make sure that the
project is progressing on schedule
• To make in-situ decisions pertaining matters
arising regarding the project whenever necessary
• Keeping and updating all necessary
documentations

Where space provided is insufficient, please attach annexed sheet.

 FORM W2

SUMMARY OF EMPLOYMENT

Please detail the main duties you have performed with emphasis on the most recent years
preceding your application.

MOHAMMAD ARIF BIN SULAIMAN

Name: ……………………………………………….. 670816-71-5053
Identification No: ……………………………

Date Company Position Statement of Experience Name, position

(month & year) and Reg. No.
Relating to Each under whom
Appointment served

AUG 1997 – JUL 1998 CITS SERVICES SDN. QC / NDT • Attending meetings with Clients WILLIAM BILL COOK,
BHD. Coordinator / • Directly involved in coordinating and supervising MANAGING DIRECTOR
Supervisor NDT works
• Monitoring works progress
• Cross-checking all reports on all works done prior
to submission to Client

SEP 1990 – JUL 1997 CRESCENT NDT & Assistant • Carrying out R.P.O works for the company NORRIZAN MD. NOOR,
INSPECTIONS SDN. Operations • Directly involved in coordinating and supervising OPERATIONS
BHD. Manager / secured projects MANAGER
R.P.O / • Giving in-house training on RT, PT, MT and
Radiographic Radiation Safety to all technician
Interpreter • Attending meetings with clients
• Advising the clients on the interpretations of
radiographs especially when repair works were
needed to be done
• Advising the clients on the safety aspects of
radiographic works
• Formulating and implementing corrective actions
and measures whenever necessary
• Arranging and obtaining work permits

Where space provided is insufficient, please attach annexed sheet.

 DECLARATION BY PROFESSIONAL ENGINEER /
ENGINEER IN CHARGE

I …………………………………………………………….* Professional Engineer / Graduate Engineer

No: ……………..…………. confirm that * Mr./Ms. ……….……………………………………..………

Identification No: ………………………………………………… is working as an Inspector of Works

in the field of ……………………………………………………………………… under my supervision.

I hereby confirm the following:

Current position: ……………………………………………………………………………….

Responsibility: ……………………………………………………………………………….

……………………………………………………………………………….

………………………………………………………………………………..

………………………………………………………………………………..

Tenure of Office: ………………………………………………………………………………..

I certify that the information provided is, to the best of my knowledge, accurate and correct in all

respects.

Signature:

……………………………………………………...

( * Professional Engineer No. / Graduate Engineer No: ……………………………..)

Date: …………………………………………..

* Delete whichever is not applicable.

 APPLICATION FOR REGISTRATION AS AN INSPECTOR OF WORKS

CHECKLIST A3-2
(TO BE FILLED BY EXISTING INSPECTOR OF WORKS AND SUBMITTED
TOGETHER WITH FORM A3)

Tick ( √ ) if it is applicable and has been fulfilled. Cross ( X ) if it is not applicable.

Office
Applicant Use
1. A processing fee of RM50.00 AND a registration fee of RM50.00

2. Form A3 has been filled and signed.

3. Copy of Identification card (cross with remarks “FOR BEM USE

ONLY”).

4. Copy of Permanent Resident card and/or Passport (Non-Malaysian).

5. Copy of diploma scroll and official transcripts (if any).

6. Copy of degree scroll and official transcript (if any).

7. Copy of any other qualifications.

8. The diploma in engineering is accredited by Malaysian Qualification

Agency (MQA) or professional body who is a signatory of Dublin
Accord or equivalent qualification recognised by BEM.

9. The Declaration Form has been filled and signed by me and endorsed
by a Professional Engineer / engineer in charge of my employment.

10. Item 3,4, 5, 6, 7 and 9 are certified by a Professional Engineer

recognised by BEM.

Remarks:

…………………………………………………………………………………………………………

…………………………………………………………………………………………………………

I confirm that I have completed the For Office Use Only

above and fulfils BEM requirements.
Signature of Officer-in-charge
Board of Engineers Malaysia
Signature of Applicant

…………………………………
……………………….. Date:
Date: