Form-005

APPLICATION FOR A PROFESSIONAL ENGINEER TO BE

REGISTERED AS ASEAN CHARTERED PROFESSIONAL
ENGINEER (ACPE)
(To be completed by Applicant in BLOCK LETTERS)

Name: ,lY)fl)l!,, lll)PlG

i3?:il9[r fY',)9 ?fl 1?l?? ]?14! 11'?ll(r
TgYIgll|:Yarucror.r,
Address: ry9.':.1.;..

e-Mail: ....{rtr:!q.449.43@. g rno"\ 9,q!.a.

1e/Yn"'A lvrCA )12 515C
ldentity'Card No]i1.]:..... ......-.. dated " rssued by ""
Date of Birth:.........1.: .1?.'. :lq?i

PracticingCertificateNo: PE .?99..... DateofRegistration: ' '7"'1'r'4{21'5'

Engineering Discipline :... . .f lYr.f. .S!.:l'1..rP'lJ.!l)9^ ) "' "'

-t/
Academic Qualification:. . .9:E.. q:l: \)./ | ' ]qB?

I have had .. ....?.?........ years of practical experience in engineering and have complied
with Article 3 of ASEAN Mutual Recognition Arrangement (MRA).
FJ6 16a 613<{162{0?6
I enclose herewith *money order/bank draft/checque No" ''' ' for the amount
of Myanmar Kyats. 5.9.a.a9./.' .. ..., being the fee'

Date of previous application: ... ...

(Write Nll, if not aPPlic:ahle)

(Signature)

*delete whichever is not applicable-

K MYANMAR ENGINEERING COUI{CIL
EXECUTTVE COMMITTEE
ASEAN CHARTERED PROFESSIONAL ENGINEER
Name:... ...ry\4il{}G...mn.U.I'J.q. -... . ...
Identity card No.Lu. y.AllAt{a.ec)Ia545 e

PROIIES SIONAL EXPEzuENCE

(in responsible charge of significant engineering work)
A B C D E

STATEMENT OF
TRAINING & Experience area
EXPERTENCE (SINCE (in months)
GRADUATION)
State concisely title of D1 D2 D3 D3 D5
Position held, Name of (J^
o
Employer, Location and ';o 2A
(n c3 cn'*
LV *
Description of each work .9ts oo cJ=o
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(make statement brief and lio
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Date concise, designating each ()
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(mth& year) work upon which engaged B-
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relating to with or change of position Eo () L a-
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appointrnent indication of magnitude and (g-
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complexity of work in =o l-r
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which engaged, your duties Otr (r=-
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and degree of responsibility) ^0)
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If necessary additional Eo0 i !-.i

sheets may be attached zA oo

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Total
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 DECLARATION FOR THE APPLICATION AS ASEAN
CHARTERED PROFESSIONAL ENGINEER (ACPE)

I hereby declare that:

YES NO

I am a Prot'essional Engineer Y) n
I meet alt the requirements as stated in Article 3 of the a l
ASEAN Mutual Recognition Arrangement (MRA)

No Disciplinary action have been taken against me T

Other:

Name flnrrN 6 rlAl)NG

Identity Card No '12/YAvrl-r t<n CN ) 1?3\5 C

Practicing Certitlcate No. P.E 503

Date ?6-l.p 'z016

Note; Please tick (4 in the relevant box.