Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
BSCE
No
Date of Conferment
The examination for accreditation as a specialist member will be guided by the Design Manual and/ or
Syllabus to be issued as reference by the five (5) Specialty Divisions as well as seminars to be
attended by the applicants.
Submit:
1. Detailed description of practice in the specific area of specialization. Enumerate the dates/periods
of engagement and provide a list of projects participated in, with corresponding description of
technical service(s) rendered. (FOLLOW FORMAT ON FORM S2)
2. Proof of engagement and certified true copy of Certifications
3. Other requirements listed on Box 1.
PICE SECRETARIAT
Received by: _______________________________ Date: _____________
Life Membership Validated: __________ LM No. ______ Date: _________
BOX 1 - Requirements:
Payment of
Accreditation Fee
TYPE I
PRC Certificate of Recognition
Amount: ____________
Notarized Curriculum Vitae with Photo
Date:_______________
TYPE II
Notarized Curriculum Vitae with Photo
OR No. _____________
Description of Practice following Form S2
Certificates (authenticated)
Others_________________________ Validated by:_________________________
Endorsement of Chapter
Action of the
(Submit any of the following)
Secretariat:
___ Chapter Board Resolution
___ Minutes of Chapter Board Meeting
___ Endorsement letter signed by the Chapter
President/attested by the Chapter Secretary
Validated by:
__________
____________
____________
____________
____________
____________
Interview: ______________________________________________________
______________
Submitted by:
_________________________________________________________________________________________
Attested by:___________________________________________________________
National Secretary
Date of Board Meeting: __________________________________________________
Date: _________________________________________________________________________________
Date of Examination/Interview: _____________________________________________________________
AWARD
PICE Certificate No. _______________ Year-Specialty Code No.________________
Note: Please attach a photo with this form. Submit a separate application and documents for different specialization. Please enclose
your one-time accreditation fee of Php 1,000 per application. All checks must be payable to PICE.
SD Form S1-Revised May 6, 2011