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Saudi Council of Engineers, SCE Professional Accreditation Center

Professional Engineering Degree Application

Degree Renewal
1- Personal Data: Registration (SCE membership) no.: female male

New Degree Request

:
:( ) : : :
.................................................Non

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Name in English: National ID / Igama no.: Nationality: Passport no.: Place of birth: Position: City: Country: Extension: Extension: Mobile: E-mail: 2- Professional Degree Applying for& Fees (3 years):
Consultant, CE Professional,

/ : : : : : . : : : : :

Saudi (specify) (

) :

Saudi

Date & Issuing Authority: : : : : : : Date of birth: Employer: P.O.Box no.: Postal Code: Tel.: Fax.:

:(
PE

3)
Associate, AE Engineer, E

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1250 SR 1250

2800 SR

2800

2300 SR

2300

1700 SR

1700

3- Academic Qualifications in engineering disciplines:

:

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Leading Positions during Professional Work: ( ) Duration (start & end) Position : Name of employer -4/2 5.. Specialization: 4.Specialized Professional Grades (PE... ) :(.Work Experiences: 4/1. Specialization -5 Validation date Granted from Certification no.Employment & Job Ranks: : : : Job title Place Rank ±4 -1/4 Name of employer Duration Commencing date 4/2. Professional grades 6. M. PMI./ Place of graduation University/institution Main major Year of graduation University degrees B S. «): . SAVE. Ph D.Training & Professional Qualification (Continues professional Development ± less than 2 weeks): :( ± ) -6 . S.

Training Courses & Lectures in Personal Skills: : / Place Trainer -3 / 6 No. Duration Date Course/lecture 6/4. Duration Date 6/3. Duration Date / Course/lecture 6/2. of hrs.Long Term Training Programs (more than 2 weeks): :( Place ) Trainer Program name -2/6 No. of hrs.6/1.Training Courses & Lectures in Engineering Field: : Place Trainer -1/6 No. of hrs.Training & Lecturing Engineering Courses: : -4/6 .

Professional & Scientific Committees : : -2 / 8 . Studies & Technical Reports: : : Type Subject Title -8 -1 / 8 Date Presented to: : 8/2. of trainees Type of attendance Duration Place Training center Course/lecture / 4. : Specialization Name -7 8.Scientific & Professional Participations : 8/1.Scientific Researches.Membership with Professional Organization & Associations: Validation date Place Certification no.Certificates No.

Work shop head 4. session head 2.Engineering Conferences & Seminars: * Duration Date Place : Type of participation Title -9 6. Key speaker 3.Engineering Arbitration: : Date Place Presented to: : * Type of arbitrations Subject -10 Arbitrating technical disputes (3) Arbitrating engineering competitions (2) Arbitrating technical papers (1) * 11. Presenting paper * 1. Attendance 10.Duration Date Place Subject Title 8/3.Engineering or Research Teams Leadership : Date Duration * Type of participation : Subject Title -11 .Engineering Work Teams : * Duration Date Place Type of participation : Title & Subject -3/8 Workshop management Supervision (3) Design ( 2) * ( 1) 9. Organization 5.

on each supplement.Please print or write clearly. «. - Name: Date: : : Signature: : . thanks & appreciation.. -12 Type of activity . .Other Works & Activities (Voluntary professional activity.): : Date Presented to: Type Subject ) :(.. . .Project management (more than 1 year) ( ) (3) Leading research team (2) Leading engineering work ( 1) * 12. engineering writing.If necessary. . professional award. attach extra papers & mention the no..Attach a copy of all certificates and documents needed for evaluation .

degree / diploma certification. First Name Middle Name Last/Surname Signature Date . I bear the responsibility otherwise. I certify that all information provided to Saudi Council of Engineers are correct. documentation and background verification presented on my application form including but not limiting to education. . I am willing that a photocopy of this authorization be accepted with the same authority as the original. This information / documentation may contain but is not limited to grades. registration and employment I hereby grant the authority for the bearer of this letter. employment tenure. . dates of attendance. grade point average. employment title. . . I further understand and acknowledge that this Information Release Form will remain valid for a period of two years following its completion. . professional certification. . agents and subsidiaries. with immediate effect. to release all necessary information to the Saudi Council of Engineers or its authorized affiliates. acting on its behalf to verify information. I hereby release all persons or entities requesting or supplying such information from any liability arising from such disclosure. agents and subsidiaries.Letter of Authorization and Confirmation I hereby authorize the Saudi Council of Engineers or its authorized affiliates. professional qualification. . licensing and registration and any other information deemed necessary to conduct the verification of the information / documentation provided.

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