Pca Complete Forms For Regular Members

PHILIPPINE CONSTRUCTORS ASSOCIATION, INC.
3rd Floor, Padilla Building, Emerald Avenue, Ortigas Center, Pasig City,
Philippines Tel. Nos.: 631-3135/ 631-2778/ 635-9278 ● Fax: 631-2788/ 633-
4989/ 635-9278
Email: email@philconstruct.com ● Website: http://www.philconstruct.com
APPLICATION FOR MEMBERSHIP
Date:
1. (a) NAME OF APPLICANT:

(b) TYPE OF MEMBERSHIP:
( ) Regular ( ) Affiliate ( ) Life
( ) Honorary ( ) Chapter ( ) Affiliate
(c) DATE OF ESTABLISHMENT:
(d) NATIONALITY:
2. (a) BUSINESS ADDRESS:
(b) MAILING ADDRESS: P.O. Box No.: Tel. No.:

Fax No.:
3. PCAB CONTRACTORS LICENSE: (For Regular Membership)
NUMBER: DATE: REPRESENTED BY:
CLASSIFICATION: CATEGORY:
4. (a) TYPE OF ORGANIZATION:

( ) Corporation ( ) Partnership ( ) Single Proprietorship
(b) NET WORTH:
5. NUMBER OF MEMBERS: (For affiliate/ Chapter Membership)
6. OFFICERS OF ORGANIZATION/ COMPANY:

NAME PROFESSION DESIGNATION
1.
2.
3.
4.
7. BOARD OF DIRECTORS OF ORGANIZATION/ COMPANY:

1.
2.
3.
4.
5.
6.
7.
8. NAME(S) OF REPRESENTATIVE(S) IN ASSOCIATION MEETINGS:
1.
2.
3.
4.
9. TWO REFERENCES: (PCA MEMBERS; VOTING REPRESENTATIVE ONLY)

1.
2.
I HEREBY CERTIFY THAT THE FOREGIONG IS TRUE AND CORRECT:
(Signature of Applicant)
For Affiliate/ Chapter Membership
RECOMMEND TO THE MEMBERSHIP COMMITTEE: RECOMMEND TO THE BOARD:
By: By:
CHAPTER/ AFFILIATE COMMITTEE MEMBERSHIP COMMITTEE
Director-Chairman Director-Chairman
DATE APPROVED BY THE BOARD:

2 X 2 PHOTO

4989/ 635-9278
DATE SUBMITTED:
BASIC INFORMATION
Name of Company:
Name
of Representative:
Position in
the Company:
Home Address: Telephone No.:
Civil Status: Date of Birth:
Number of Children: Name of Wife (If married):
Graduated at: Degree/s
Obtained: Other Affiliation/s and Position/s
Held (If any):
2 X 2 PHOTO

4989/ 635-9278
DATE SUBMITTED:
BASIC INFORMATION
Name of Company:
Name
of Representative:
Position in
the Company:
Home Address: Telephone No.:
Civil Status: Date of Birth:
Number of Children: Name of Wife (If married):
Graduated at: Degree/s
Obtained: Other Affiliation/s and Position/s
Held (If any):
4989/ 635-9278
DATE:
The Board of Directors

Philippine Constructors Association, Inc.
Thru the Membership Committee
PCA Secretariat, Pasig, Philippines
Gentlemen:
We have the honour to apply for (REGULAR/ ASSOCIATE/

LIFETIME/ AFFILIATE/ CHAPTER) Membership in the Philippine Constructor’s Association, Inc.
This also confirms that we have read the Constitution and By-Laws of the Association, as amended on
June 29, 1982.
Attached are our application forms and check.
We hereby solemnly swear that if this application is approved, we shall abide by the Constitution, By-Laws
and Objectives of the Association.
Very truly yours,

1st ENDORSEMENT
DATE:
Respectfully forwarded to the Board of Directors thru the Executive Director. In accordance with the
results of the committee meeting held on , the application for
membership of is recommended for approval.
MEMBERSHIP COMMITTEE:
BOARD ACTION
APPROVED/ DISAPPROVED DATE:
For the Board of Directors:
Executive Director
4989/ 635-9278
PCAB LICENSE DETAILS
DATE OF ORIGINAL LICENSE: ( / / )

LICENSE NUMBER:
PRIMARY CLASSIFICATION: OTHER CLASSIFICATIONS:
(Please check one) (Please check all applicable)
( ) General Engineering ( ) General Engineering
( ) General Building ( ) General Building
( ) Specialty Contractor ( ) Specialty Contractor
CURRENT CATEGORY: ( ) AAA ( )B ( )D

(Please check one) ( ) AA ( )C ( ) Trade
( )A
LINE OF BUSINESS: (Check all that apply)
( ) Airport and/ or Air Navigation Facilities ( ) Manpower

Contractor ( ) Air Conditioning, Ventilation and/ or Refrigeration ( ) Masonry Works
( ) Building (High Rise) ( ) Mechanical Works
( ) Building (Medium Rise) ( ) Non-Destructive Testing and Stress Relieving
( ) Carpentry Works ( ) Painting Works
( ) Communication Facilities ( ) Parks, Playground and/or Recreational Works
( ) Concrete Aggregates ( ) Piping & Plumbing
( ) Concrete Pre-casting, Pre-stress or Post tensioning ( ) Port, Harbor and/or Offshore Engineering
( ) Dam, Reservoir or Tunnelling ( ) Power Generation, Transmission, and/or Distribution Facilities
( ) Demolition Works ( ) Railways and/or Light Rail System
( ) Dredging ( ) Residential Housing
( ) Electrical and/or Instrumentation Works ( ) Roads, Highways, Pavements and/or
Bridges ( ) Engineering Consultancy Works ( ) Sanitary Works
( ) Engineering Design Works ( ) Sewerage and/or Sewage System
( ) Equipment Rental ( ) Steel Fabrication Works
( ) Finishing and Interior Design Works ( ) Structural Steel Works
( ) Foundation and/or Piling Works ( ) Tank Erection
( ) Golf Courses and/or Resorts ( ) Tiling Works
( ) Industrial Plants ( ) Water Treatment Plant and/or Distribution System
( ) Insulation and/or Fireproofing Works ( ) Others: (Please
specify) ( ) Irrigation and/or Flood Control
( ) Land Development Works
( ) Malls and/or Commercial Complexes
Note: Upon completion, kindly fax this form to the PCA Secretariat at (632) 631 2788 or (632) 633 4989.
4989/ 635-9278
DIRECTORY FORM FOR REGULAR MEMBERS
NAME OF COMPANY: _ _
DATE ESTABLISHED: _
BUSINESS ADDRESS: _
TELEPHONE NO/S.: FAX NO.: EMAIL ADDRESS:
AUTHORIZED REPRESENTATIVES:
Name Designation
PCAB LICENSE NO.: DATE OF ORIGINAL LICENSE:

CERTIFICATION OF RENEWAL: VALIDITY PERIOD:
CLASSIFICATION:
(a.) General Engineering ( )
(b.) General Building ( )
(c.) Specialty ( )
(d.) Combination ( )
SPECIALTY (If applicable):

CATEGORY:
PROJECTS UNDERTAKEN (e.g. roads, bridges, dams, irrigation works, civil works, buildings, residential, warehouse,
industrial complex, plumbing, electrical, painting, fireproofing, etc.):
_
_
_ _
_
BUSINESS AFFILIATION/S (sister firms, subsidiaries, tie-ups, etc. and their addresses):
_
_
_
_
KEY OFFICIALS:
Name Designation
IT IS AGREED THAT THE INFORMATION PROVIDED ON THIS SHEET WILL BE THE EXACT DATA TO BE PRINTED IN THE
PCA DIRECTORY.
AUTHORIZED REPRESENTATIVE
(Print Name and Sign)
4989/ 635-9278
ROSTER UPDATE FORM 2
Note: Please fill-out in print or block letters. Please complete all applicable fields.
GENERAL DETAILS
COMPANY NAME:
DATE
ESTABLISHED: _
BUSINESS ADDRESS: _
MAILING ADDRESS:
_
P.O. BOX NUMBER:
TELEPHONE NO. 1: ZIP CODE: _
TELEPHONE FACSIMILE: _
NO. 2:
TELEPHONE NO. 3:
TYPE OF ORGANIZATION:
MEMBERSHIP TYPE:
( ) Regular ( ) Associate ( ) Affiliate
( ) Chapter ( ) Honorary ( ) Lifetime
CORPORATE EMAIL ADDRESS: _
CORPORATE WEBSITE URL: _
VOTING REPRESENTATIVE: _
POSITION:
EMAIL:
CONTACT NUMBER: _ VOTING ALTERNATE 1:
POSITION:
EMAIL:
CONTACT NUMBER: _
VOTING ALTERNATE 2:
POSITION:
EMAIL:
CONTACT NUMBER: _
SIZE OF COMPANY:
( ) Less than 10 employees ( ) 101-500 employees ( ) 10,001-15,000 employees
( ) 10-25 employees ( ) 501-1,000 employees ( ) 15,001-20,000 employees
( ) 26-50 employees ( ) 1,001-5,000 employees ( ) More than 20,000 employees
( ) 51-100 employees ( ) 5,001-10,000 employees
4989/ 635-9278
ROSTER UPDATE FORM
Note: Please fill-out in print or block letters. Please complete all applicable fields.
GENERAL DETAILS
COMPANY NAME:
DATE
ESTABLISHED: _
BUSINESS ADDRESS: _
_
MAILING ADDRESS:
_
P.O. BOX NUMBER:
TELEPHONE NO. 1: ZIP CODE: _
TELEPHONE FACSIMILE: _
NO. 2:
TELEPHONE NO. 3:
TYPE OF ORGANIZATION:
MEMBERSHIP TYPE:
( ) Regular ( ) Associate ( ) Affiliate
( ) Chapter ( ) Honorary ( ) Lifetime
CORPORATE EMAIL ADDRESS: _
CORPORATE WEBSITE URL: _
VOTING REPRESENTATIVE: _
POSITION:
EMAIL:
CONTACT NUMBER: _ VOTING ALTERNATE 1:
POSITION:
EMAIL:
CONTACT NUMBER: _
VOTING ALTERNATE 2:
POSITION:
EMAIL:
CONTACT NUMBER: _
SIZE OF COMPANY:
( ) Less than 10 employees ( ) 101-500 employees ( ) 10,001-15,000 employees
( ) 10-25 employees ( ) 501-1,000 employees ( ) 15,001-20,000 employees
( ) 26-50 employees ( ) 1,001-5,000 employees ( ) More than 20,000 employees
( ) 51-100 employees ( ) 5,001-10,000 employees
PRODUCTS AND SERVICES OFFERED: (Please check all that apply.)

( ) Adhesives ( ) Pipes and Tubing
( ) Air Conditioning, Ventilation & Refrigeration ( ) Plumbing Materials
( ) Asphalt ( ) Retailer, Construction Materials
( ) Blocks ( ) Roofing Products
( ) Boards ( ) Rubber Products
( ) Cement Products ( ) Scaffolding & Formworks
( ) Chemicals ( ) Soundproofing Materials
( ) Compressors ( ) Steel Bars, Reinforcing
( ) Computer Hardware ( ) Steel Fabrication
( ) Computer Software ( ) Steel Products
( ) Concrete Aggregates ( ) Surveying Equipment
( ) Concrete Products ( ) Telecommunications Equipment
( ) Consultancy Services ( ) Tiles, Ceramic
( ) Electrical Products, Wires and Cables ( ) Tiles, Marble and/ or Granite
( ) Electronic Equipment ( ) Tiles, Vinyl
( ) Equipment, Heavy ( ) Tires
( ) Equipment, Mining ( ) Tools, Carpentry
( ) Glass & Mirrors ( ) Tools, Power
( ) Insulation Products ( ) Wallpaper
( ) Insurance & Bonds ( ) Waterproofing
( ) Management Services ( ) Wood Products
( ) Manpower Services ( ) Others: (Please specify.)
( ) Metal Sheets
( ) Paint Materials & Equipment
( ) Petroleum Products
Note: Upon completion, please fax this form to the PCA Secretariat at (632) 631 2788 or (632) 633 4989.

Pca Complete Forms For Regular Members

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Pca Complete Forms For Regular Members

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PHILIPPINE CONSTRUCTORS ASSOCIATION, INC.

APPLICATION FOR MEMBERSHIP

1. (a) NAME OF APPLICANT:

2. (a) BUSINESS ADDRESS:

(b) MAILING ADDRESS: P.O. Box No.: Tel. No.:

4. (a) TYPE OF ORGANIZATION:

(b) NET WORTH:

5. NUMBER OF MEMBERS: (For affiliate/ Chapter Membership)

6. OFFICERS OF ORGANIZATION/ COMPANY:

7. BOARD OF DIRECTORS OF ORGANIZATION/ COMPANY:

9. TWO REFERENCES: (PCA MEMBERS; VOTING REPRESENTATIVE ONLY)

I HEREBY CERTIFY THAT THE FOREGIONG IS TRUE AND CORRECT:

DATE APPROVED BY THE BOARD:

PHILIPPINE CONSTRUCTORS ASSOCIATION, INC.

PHILIPPINE CONSTRUCTORS ASSOCIATION, INC.

The Board of Directors

We have the honour to apply for (REGULAR/ ASSOCIATE/

Attached are our application forms and check.

Very truly yours,

APPROVED/ DISAPPROVED DATE:

For the Board of Directors:

PCAB LICENSE DETAILS

DATE OF ORIGINAL LICENSE: ( / / )

CURRENT CATEGORY: ( ) AAA ( )B ( )D

LINE OF BUSINESS: (Check all that apply)

( ) Airport and/ or Air Navigation Facilities ( ) Manpower

DIRECTORY FORM FOR REGULAR MEMBERS

PCAB LICENSE NO.: DATE OF ORIGINAL LICENSE:

SPECIALTY (If applicable):

PRODUCTS AND SERVICES OFFERED: (Please check all that apply.)

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