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PHILIPPINE INSTITUTE OF CIVIL ENGINEERS, INC.

Application for Elevation of PICE Members to Specialist Category


(
(

) TYPE I (Recipients of Certificate of Recognition by the Professional Regulation Commission)


) TYPE II (New Applicants)

 GEOTECHNICAL ENGINEERING (GtE)  PROJECT MANAGEMENT & CONSTRUCTION ENGINEERING (PMCE)


 STRUCTURAL ENGINEERING (StE)  TRANSPORTATION ENGINEERING (TrE)
 WATER ENGINEERING (WE)

Application Code: ________

Name ___________________________________________/_________ /__________________________________________________________________


Given
M.I.
Surname
PRC Reg. No. ______________________________ Date Reg. __________________________
Educational Attainment

 BSCE

Date of Birth __________________________________

School ________________________________________________________________ Year ________________

MS in ________________________ School ________________________________________________________________ Year _________________


 PhD in ______________________ School ________________________________________________________________ Year ________________
PICE Chapter ________________________ Date of Regular Membership in PICE ______________ Fellow  LM Date approved:_______________
Home Address ________________________________________________________________________________________________________________
Tel. No. __________________________ Fax No. ______________________ Mobile No. _____________________ E-mail ________________________
Office Name/ Address __________________________________________________________________________________________________________
Position _________________________ Tel. No. ______________________ Fax No. __________________ E-mail _____________________________
Membership in Other Professional Organizations: ___________________________________________________________________________________
______________________________________________________________________________________________________________________________
Previous Specialist Certificates
Specialty Division

No

Date of Conferment

_____________________________ ______ ___________________


_____________________________ ______ ___________________
_____________________________ ______ ___________________
REQUIREMENTS FOR ACCREDITATION OF SPECIALTY DIVISION
TYPE I (__) NO EVALUATION.
PICE Members who have been awarded a Certificate of Recognition by the Professional Regulation
Commission for the specific area of specialization prior to year 2000.
Specialization:
_____________________________________________________________________________________
Date Issued : _____________________________________Resolution No. _______________________
Submitted ( ) enclose Certified True Copy of Certificate issued by PRC and
( ) most recent notarized curriculum vitae with photo.
TYPE II (__) NEW APPLICANTS
Compliance with the Criteria - New requirements for accreditation of specialist member:
1. All applicants must be PICE life members.
2. No Examination - Applicants with at least 15 years experience in, or with a doctoral degree in the
area of specialization are not required to take a written examination but will be subject to an
interview by the concerned Committee of the Specialty Division.
3. With examination
3.1 Applicants with at least 10 years experience in the area of Specialization may take the
examination; OR
3.2 Applicants with at least five (5) years rated continuous active practice in the area of
specialization; AND at least 80 CPD (Continuing Professional Development) units, provided
that not more than 30 CPD units that have been obtained before year 2000 can be credited; OR
3.3 Applicants with a masters degree in and at least three (3) years active practice in the area of
specialization

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.

AND: Interview at the discretion of the concerned specialty division;


4. Applicants must submit duly notarized curriculum vitae.
5. The PICE National Secretariat shall receive all applications for accreditation and is tasked to verify
the authenticity of documents and information submitted.

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:
__________

Action of the PICE Specialty Division: ___________________________


 For Examination  For Interview
 For Evaluation
Date

SD1 ______________________: _________________________

____________

SD2 ______________________: _________________________

____________

SD3 ______________________: _________________________

____________

SD4 ______________________: _________________________

____________

SD5 ______________________: _________________________

____________

Interview: ______________________________________________________

______________

Recommending Approval: __________________________________ ______Date:______________


Chair, Specialty Division
Examination _____________________________________________________________________
Recommending Approval: _________________________________________Date:______________
Chair, Inter-Specialty Group

Action of the National Board of Directors:


Approved by: __________________________________________________________
National President

Submitted by:
_________________________________________________________________________________________

Printed Name and Signature

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

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