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QMS-BRS, TWG Form No.

18
4th Revision
Department of Public Works and Highways
ACCREDITATION OF CONTRACTORS’/CONSULTANTS’
MATERIALS ENGINEERS
APPLICATION FORM FOR WRITTEN EXAMINATION
_____________________
Date of Examination

APPLICATION NUMBER -

2" x 2" Photo


with nametag
NOTE: The examination is STRICTLY for Civil Engineers employed by
private companies. Government, GOCC and Job Order Engineers
are NOT ALLOWED to take the examination.*

Name :
(Last) (First) (Middle)

PRC License Number : Valid Until


:
Home Address
:
Office Name :

Office Address :
Position : Home Tel. No.
Office Tel. No. : Mobile No. TIN
Nationality : Sex Civil Status Birthday

Education (Limit to Tertiary Level Up)


Degree School Year Graduated

Preferred Venue of Examination


Manila Cebu City Davao City

I certify to the correctness of the foregoing.

Checked by:

__________________
Position Signature (Sign inside the box)
(DPWH QAHD Personnel)
______________________________________
Date

*The BRS shall invalidate any examination results of examinees eventually found as
Government, GOCC and Job Order engineers.
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 with nametag (one to be pasted in the
Application Form and the other is for Notice of Examination Schedule)
c. One 1" x 1" photograph with nametag for Identification Card.

d. Certificate of Employment (unemployed/freelance applicants are not


allowed).

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.

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