MENTORSHIP GEARED TOWARDS PROFESSIONAL REGISTRATION

(10 PDUs Max Per Year)

Mentor’s
Name:
Mentor
EBK Reg.
No.

Engineerin
g Firm

Year Graduate Description of Activities/Projects/Tasks the Mentor has taken the Graduate
Engineer’s Engineer through
Name &
EBK Reg.
No.
2018
 2019

Certification Statement:
I ……………………………………………………………. EBK Reg. No………………… do certify that
the information provided in this form is true and correct to the best of my knowledge.
Signature: …………………………………………..