QMS-BRS, TWG Form No.

18
Department of Public Works and Highways
ACCREDITATION OF CONTRACTORS’/CONSULTANTS’
MATERIALS ENGINEERS
APPLICATION FORM FOR WRITTEN EXAM
_____________________
Date of Examination

Application Number -

2" x 2" Photo

New Applicant (not yet accredited)

Name
(Last) (First) (Middle)

PRC License Number : Valid Until

:
Home Address

Office Name :

Office Address :
TIN Number : Position

Home Tel. No. Mobile No. Office Tel. No.

Nationality : Birthday Sex Civil Status

Education
(Limit to Tertiary Level Up)
Degree School Year Graduated

I certify to the correctness of the foregoing.

___________________________________
Signature over printed name
____________________________
Date

Preferred Venue of Examination

Manila Cebu City Davao City

 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. Xeroxed copy of valid Professional Regulation Commission

(PRC) Identification Card as Civil Engineer (not expired and with
signature)
b. Two 2" x 2" recent photographs (one to be pasted in the
Application Form and the other is for Notice of Examination
Schedule)
c. One 1" x 1" photograph

3. Submit the Application Form and the requirements to:

The Chief
Quality Assurance and Hydrology Division
Any Regional Office of the Department of Public Works and Highways

4. Application forms must be submitted to the Bureau of Research and

Standards (BRS) by the Regional Offices at least one (1) month before
the scheduled accreditation examination.

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

DPWH 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.