QMS-BRS, TWG Form No.

17
1st Revision
Department of Public Works and Highways
ACCREDITATION OF DPWH MATERIALS ENGINEERS
APPLICATION FORM FOR WRITTEN EXAMINATION

_______________________
Date of Examination

Application Number -

New Applicant / Not Yet Accredited

2" x 2" Photo
Upgrading Accreditation No. with nametag

Previously Accredited Contractors’ ME Accreditation No.

N ote: The exam ination is for regular and Civil Engineer em ployees of DPW H only.
(Governm ent, GOCC and Job Order Engineers are not allow ed.)

Name :
(Last) (First) (Middle Name)

Birthday : Sex : Civil Status :

Age : Nationality : TIN :

Office :
Region/District Office Address

Position Employee ID Number

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

Education
(Limit to Tertiary Level Up)
Degree School Year Graduated

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 with nametag (one to be pasted
in the Application Form and the other is for Notice of Examination
Schedule)
d. One 1" x 1" photograph with nametag

3. Submit the Application Form and the requirements to:

The Chief
Quality Assurance and Hydrology Division
Any neatest 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) working 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.