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FORM H9

REGISTRATION OF ENGINEERS ACT 1967 (REVISED 2015)

RENEWAL OF CERTIFICATE OF REGISTRATION FOR SOLE PROPRIETOR


Section 16(b) of the Registration of Engineers Act 1967 (Revised 2015)

1. Application for renewal of registration year : .......................................................................................

2. Name of Sole Proprietorship :

.........................

3. Registration No. (with BEM) : ............

4. Address (if any change) :

.........................

.........................

.........................

5. Tel. No. : ........... 6. Fax No. : ..............

7. E-mail : .................................................................................................................

8. Any change of Principal in the Sole Proprietor ?


If yes, please submit FORM D9.
( ) if YES , ( X ) if NO

9. Details of payment enclosed : ....................................................................................................................

* Money order/bank draft/cheque No. ......................... for the amount of RM .................................


* Delete whichever not applicable

I confirm that I have completed the above and


fulfils BEM requirements.

Signed by the Principal

Name : ...................................................... ............................................................


Date ...................................................... (PEPC Stamp)

PENALTY
Section 24(a) of the Registration of Engineers Act 1967 (Revised 2015) : "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.".
FORM D9

PRINCIPAL FOR YEAR ..............

Name of Sole Proprietor : .........................................................................................................................................

1. Name of Principal
:
..............................................................................................................................

2. PEPC Registration No. :


...........................................................................................................

3. Branch of Engineering (e.g. Civil) :


..................................................................................................

. ........................................
(Signature of Principal) (PEPC Stamp)

Note: Sole Proprietor shall comply with Section 7A of The Registration of Engineers Act 1967 (Revised 2015).

PENALTY
Section 24(a) of the Registration of Engineers Act 1967 (Revised 2015): "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."
FORM CHECKLIST

RENEWAL OF CERTIFICATE OF REGISTRATION FOR SOLE PROPRIETOR

FOR YEAR .............


( Please return with the application for renewal )

Applicant For Office use

1. Form H9

2. The annual renewal fee of RM 250.00

* Options - Courier service charge of RM 15.00

IF CHANGE OF THE PRINCIPAL IN THE SOLE PROPRIETOR -

3. Complete and sign FORM SD

4. FORM K For new and existing Partners with changes in their


involvement with Construction or Manufacturing Company (if
applicable)
5. LETTER 1 - Acknowledgement letter by company or companies for
NEW Directors and EXISTING Directors with change in their
involvement with Engineering Consultancy Practice (if applicable)
6 LETTER 2 - Declaration letter by the NEW Directors and EXISTING
Directors with change in their involvement on Active Involvement in
Engineering Consultancy Practice
7. LETTER 3 - Acknowledgement letter by company or companies for
NEW Partners and EXISTING Partners with change in their
involvement in company or companies other than Engineering
Consultancy Practice. (if applicable)

Notes / Other Matters :

I confirm that I have completed the above and For Office Use Only
fulfils BEM requirements.
Signature of Officer-in-charge
Board of Engineers Malaysia
Signature of Applicant


................................................. Date
Date

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