M EngC/REG/RE-002

Myanmar Engineering Council Issue Date: 01-08-2018

APPLICATION FOR A PROFESSIONAL ENGINEER Effective Date: 31-08-2018

O TO BE REGISTEREDAS Issue No,O

Page 1 of 3
ASEAN CHARTERED PROFESSIONAL ENGINEER (ACPE)

(To be completed by Applicant in BLOCK LETTER

Nan-rc:

Ilorr.rc Address:

Ollice Address:

'l'cl.No: Fax. No :

lr-Mail:...

Iclcntity Card No.: ...... dated ....isstred by ...

Datc of Birth:

Practicing Certificate No: .. ..... Date of Registration: .

Engineering Discipline :. .. .

Academic Qualification:.. .

I have had .. ....... years of practical experience in engrneering anti have complied wjth
Arlicle 3 of ASEAN Mr.rtlral Recognition Arrangement (MRA).

Ienclose herewith *money order/bank draft/cheque No. ..... for the amount of
Myanmar Kyats. .., being the fee.

Datc of previous application: ......

(Write NIL d.not applicable)

I)atc: .

(Signature)
*clelete whichever is not applicable.
Name:

Identitv Card No.:

 .li I't,l MEngC/REG/RE-002
., '1,
Myanmar Engineering Council Issue Date: 01-08-2018
"".;.
APPUCATION FOR A PROFESSIONAL ENGINEER Effective Date: 31-08-2018
.t:
Issue No.0
/t, i' " TO BE REGISTERED AS
Page 2 of 3
ASEAN CHARTERED PROFESSIONAL ENGINEER (ACPE)

PROFESSIONAL EXPERIENCE
(in responsible charge of significant engineeting work)
A B C D E,

STAI't1Mtr,NT OF
TRAININ(i & E,rpcricnce are a
EXPERIENCE (SINCE (in months)
GRADUATION)
State conctsely 1it1e of D1 D2 D3 D4 D5
Position held, Namc of o
Employer, Location and
o:
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Description of each work ,9E
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complexity o1- r,r,ork in

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Total
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 M EngC/ REG/RE- 002
Myanmar Engineering Council Issue Date: 01-08-2018
APPI.ICATION FOR A PROFESSIONAL ENGINEER Effective Date: 31-08-2018

" TO BE REGISTEREDAS Issue No.0

Page 3 of 3
ASEAN CHARTERED PROFESSIONAL ENGINEER (ACPE)

DECLARATION FOR THE APPLICATION AS ASEAN CHARTERED

PROFESSIONAL ENGINEER (ACPE)

I hereby declare that:

YES NO

I unr a Proltssional Engineer n n

I rncct all the requirements as stated in Article 3 of the n u
ASIIAN Mutual Recognition Arrangement (MRA)

No Disciplir-rary action havc bccn takcn against rne tr T

Other:

Yours Sincerely,

Narle

ldentity Card No

I'racticing CerIifi cate No.

Datc

,\ore. Please tick ( /) in the reley'anl bor