QMS-BRS, TWG Form No.

18

Department of Public Works and Highways

ACCREDITATION OF CONTRACTORS/CONSULTANTS
MATERIALS ENGINEER
APPLICATION FORM FOR WRITTEN EXAMINATION
__________________________
Date of Examination

Application Number

2" x 2" Photo

Name

:
(Last)

(First)

(Middle Name)

Birthday

Sex

Civil Status

Age

Nationality

TIN

Office

Position

Office Address

:
:
Office Telephone Number

Office Fax Number

e-mail Address

PRC License Number

Valid Until

Mailing Address

Zip Code :

Home Address

Zip Code

:
Home Telephone Number

Cellphone Number/s

I certify to the correctness of the foregoing.

_______________________________
Signature over printed name

_________________________
Date

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. Xeroxed copy of latest Appointment

c. Two 2" x 2" recent photographs (one to be pasted in the
Application Form and the other is for Notice of Examination
Schedule)
d. One 1" x 1" photograph
3. Submit the Application Form and the requirements to:
The Chief
Quality Assurance and Hydrology Division
Any nearest Regional Office of the Department of Public Works and
Highways
4. Application forms must be received by the DPWH Regional Office at
least thirty (30) days before the scheduled accreditation examination.
5. Applicants shall obtain the Notice of Examination Schedule from the
DPWH Regional 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.