Pakistan Engineering Form PEC-5A

Applicable for Registered

Council Engineers
Ataturk Avenue (East) G-5/2, P.O.Box No.1296, Islamabad.

Tick which is
applicable
A Issuance of Duplicate Renewal Card
Attach two Passport Size Photographs, news paper cutting, and affidavit along with D Change of Address
Rs.100/- as fee
Issuance of Duplicate Registration Certificate.
B Attach two Passport Size Photographs, news paper cutting, Copy of FIR, and affidavit along
with Rs.1000/- as fee
Endorsement of Higher Degree/Diploma on Registration Certificate Any Other Change, please
C E
(attach attested copy of Higher Degree/Diploma and Transcript/Abstract of Thesis along specify
with original, PEC original Certificate and payment of fee @ Rs.2,000/-) ___________________________________________
( attach relevant documents)

PEC Reg. No.____________________________ Discipline:

______________________________
Paste
Name of Engineer:
Photograph________________________________________________________________
Present Postal Here ________________________________________________________________
Address:
CNIC No: __ __

Tel:
Off#________________Res#_________________Cell#______________________Email:___________________________
EMPLOYMENT STATUS (for last three years supported by attested copies of experience certificates)

Status (Govt/Semi-
S Govt From ________To
Name of Organization/Company Designation
# /Autonomous/Privat _______
e
1

CPD ACTIVITIES AND CREDIT POINTS, SUPPORTED BY DOCUMENTRY EVIDENCE Min: 5 Credit
Points /year
(Brochure attached for guidelines)
Credit Credit Points Remarks
S Professional Hours Claimed
Applicable CPD Program
# Engineering Body Claim Year Year- Year-
ed -1 2 3
1 Formal Education (Higher Education duly
recognized by PEC/HEC)
2 Work Based Learning (Work Experience
related work including Management)
3 Development Activities (Conferences,
Seminars, Workshops Lectures,
memberships etc)
4 Individual Activities (Symposium Panelist,
Authoring of Book, recognized social
work etc)
Total

Dated:__________________ Engineers signatures

_ (Essential and must be within the box)

FOR OFFICE USE ONLY

Verified by CPD Department Approved by Registration Department

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Accounts Department
Received Rs._______________ Date: _______________________
Mode Cas Chq DD
:- h

Receipt No._________________ Chq/DD No.____________________________ Signature of Accounts Clerk