ASEAN ENGINEERING REGISTER (AER) - Application Form v ENGINEER [—] _TecHNoLosist ‘TECHNICIAN [ASSOCIATE ENGINEER [__] ASSOCIATE TECHNOLOGIST [_._] ASSOCIATE TECHNICIAN Please tick the appropriat tite: [—]Prot. [__]r. Ju. er. [Jengr. [V] others ‘Name (asin passport or Aswin Lorenso Gultom ‘National Identity Card) Date of Birth: 06 October 1981 []Femate [V] Male Gender : First Degree/University : University of Indonesia Year of Graduation (YYYY) : 2005 Discipline: Mechanical Engineering ‘Atleast 7 Years of Postgraduate Working Exper ence in an Engineering Environment. (Of which 2 years’ experience must involve a substantial charge. BEC [] mes | 1018.09.070973 Year of admission = Oem [_]t«m Citra Indah, Bougainvillea Sector Block Al-10 no.18@ ‘Add.Line.2 Post Code 16830 [Telephone (6281770843095 City ‘Bogor Fax State ‘West Java [Mobile 6281770843095 ‘Country. Indonesia [E-Mail jinsstmtvi@gmall Employment Status : Assistant Manager Engineering & Maintenance? "Any changes of address or employment must be promptly noted tothe Secretariat or be updated via the ASEAN Engineers website www. oe 2fe0.0r9 "AER Payment im Entrance Fee + Entr Fee+M rance Fee + Registration Fee + Membership Card] pion pee Brunei/ Singapore/] _Cambodia/ Laos/ Thailand leaner vinioet Indonesia/ Philippines [ASEAN ENGINEER (AE) / ASEAN ENGINEERING TECHNOLOGIST (AET) |ASEAN TECHNICIAN (AT) USD 170 USD 90 Usb 220 Usb 115, RM 710]|ASSOCIATE MEMBER (ENGINEER, ENGINEERING TECHNOLOGIST & TECHNICIAN) Cash / Cheque / Bank Draft / Bank Transfer / Money Order / Postal Order No. ASEAN ENGINEERING REGISTER (AER) - Application Form [SUMMARY OF SIGNIFICANT ENGINEERING WORK (not applicable for Associate Member Application) Provide summary of each project for which you were personally responsible and state you position, the number of mont were in charge ofthe work (insufficient please use additional sheets) | ‘Yate ot Projects is sigiicance, Your functions Period of txperience Poston of Responsibity esponsbilites, achievements, practical innovations, original application of theory Total : 215 th you name) [Agency: PT.Pertamina Patra Niaga Project: BBM Terminal [Development - PT. Pertaminats Responsibilities and Duties: Since 2010 | have been involved in [project monitoring, both in corporate and in the Commercial & |Trading sub-holding. Until now! have been involved a lot in the tank design process (API 650) and piping such as: Construction of a 3x5000 Kt| tank at DPPU Kualanamu, but in implementing projects at Pertamina lwe often cannot supervise from planning to project closing because rotations occur quite frequently due to with company needs and human resource limitations. Engineers in the C&T sub-holding are not planned to have expertise in afield Isuch as Mechanical, Electrical, Civil, Jetc. but each person must know various fields. The duration of each |project also tends to be long (5-10 years) considering that in the C&T |subholding there are many licensing problems and repeated auction processes. sistant Manager Engineering & Maintenance 2010 - 2022 Agni [Agency: PT. Pertamina Patra Niaga - |Aircraft Filling Depot in Kertajati2021 QC Project Sub-Team Member raupe. IU Pure manent Preparation and Socialization Team in the Infrastructure & Project [Management function’ Responsibilities and Duties: In this team, | was assigned to create the TKI Project QC especially regarding the procedures for implementing the FAT (factory [@ jacceptance test). In my opinion, oy must be carried out by engineers lwho plan in advance along with the Reliability function as QC at Pertamina Patra Niaga (PPN). Apart from that, to carry out FAT, a letter lof assignment (a clear mandate from the VP) needs to be issued. This is to avoid fraud (for exampl roads paid for by contractors). It also needs to be stipulated that loverseas FAT needs to be carried lout for several main components that are critical to the process. 2020 Deputy Chair of ‘Commissioningii [Agency: PT. Pertamina Patra Niaga - Aircraft Filling Depot in Kertajati Project: Implementation of [Commissioning of 3x5,000 KL Avtur tanks and flushing of hydrant pipes Ito Valve Chamber 118 Responsibilities and Duties: lon this project, | helped the head of |commissioning to coordinate the |commissioning implementation so that it could run well and smoothly. [The target that has been achieved is| the implementation of dismant 18,000 KL of aviation fuel via skid Aaa tanks via bridgers from DPPU |Soekarno Hatta and the Balongan Refinery2019 Assistant Manager Engineering JAgency: PT. Pertamina (Persero)a Project: Citra Jetty Rehabilitation [Emergency Response Team - TBBM Medan Group [Responsibilities and Duties: [Through this SP Team, | was required to create tender Jdocuments very quickly and carefully while communicating with the management regarding how to rehabilitate the image of the jetty lwhich had continued to collapse. is still very strong. |The weakest part after the treastle is the jetty head, so we need to immediately remove all the lequipment installed on the jetty head via the working barge which is. Imoored on the right BD. After that, we carried out repairs to the piles at Ithe jetty head and Breasting Dolpin (8D) so as to ensure that floating treastle because the M condition of the Breasting Dol {as a result of the consultant's stjjuperauviiat auviues coutE Ls Ito be carried out. HThe procurement process is carried lout by appointing the local lcontractor directly who owns the lworking barge so that there is no |delay in rehabilitation after the collapse of the Image Jetty. Apart {rom explaining to Management, it is also necessary to provide lexplanations to other stakeholders, Inamely: Maritime Transportation IService, Medan Regional |Government, Pelindo Il, etc. |The rehabilitation process was |successfully supervised and in just 2 lweeks the operation could run lagain and the dismantling of the ship from Citra Jetty to the tank at [TBEM Belawan could proceed |smoothly. Furthermore, GM MOR | also gave a notice regarding the lcompletion of the emergency period at Citra Jetty. 2016 - 2018 Project Manager [Agency: Pertamina lProject: PT. MSF Mining Facilities Development Project. Asam Hill [Responsibilities and Duties: [Coordinate internal resources and third parties/vendors for the delivered on-time, within scope within budget [Developing project scopes and Jobjectives, involving all relevant |stakeholders and ensuring technical Heasibility [Ensure resource availability and allocation [Develop a detailed project plan to track progress flawless execution of projects [Ensure that all projects are Geass2018 Chairman of the Piping & Pipeline Price Analysis Sub Teama, [Agency: PT. Pertamina Patra Niaga -| VP Reliability & Project Developments Project: Preparation of 2019 RPD Unit Price Analysis (AHS).8 [Responsibilities and Duties: activity, | provided input to Ithe 2019 AHS preparation for piping and pipeline installa IMy suggestion at that time was ladd a price analysis for draining pipes with water because for pipes that are long enough, the waste water from flushing contains oil (B3 |waste) so it cannot just be thrown laway, 80 a price analysis must be Imade for storage and disposal. consultant regarding what chan nok lwere needed for the price anal 4 2016 Civil Design Engineering Assistant [Agency: Consultant PT. indonesian ‘Surveyort Project: RISK ANALYSIS OF CB-1, C¥- [3 AND CIKAMPEK-PLUMPANG PIPE ROW LAND CONDITIONS [Responsibilities and Duties: [This study was used to map risks related to land documents and |social costs which were then {followed up with the creation of a FEED for the CB-1, CY-3 and |Cikampek-Plumpang pipelines. |Apart from that, we also make location studies for block valves, lbooster pumps, etc. For the CB-1 pipeline, we also participated in discussions and outreach with INGOs, residents, regional lgovernments, etc. regarding the implementation of the pipeline lconstruction. ~S SURVEYOR INDONESIA taal Dull gal ents Be pooi All the information in my application is true and correct.Name ; Aswin Lorenso Gultom, $.7., M.T., IPM. Awe Date of Application 14/09/2023 Signature: Aswin Lorenso Gultom, INFORMATION BELOW TO BE COMPLETED BY THE HOME INSTITUTION | Gentirmation of Egiilty by Member Home Organisation National Monitoring Committee /Country Registrar | i We have reviewed this application, and hereby confirm that this application meets the AER Admission Aequlerent 35 stated overeat Il We undertake to inform the AER Secretariat of any change nthe membership status and/or censing status of the said Applicant. Name of Country Registrar : Name of home Institution : Signature: Date of Confirmation: Name of Admission (Office Bearer) : Name of Affiliated Institution : ‘Signature : Date of Confirmation : Signature: Dat of Endorsement: "ASEAN ENGINEERING REGISTER (AER) — Notes or eplcotion “The ASEAN Federation of Engineering Organisations (AFEO) Governing Board at its meeting in Vientiane, Lao PDR in ne 2011, have agreed to ‘expand the ASEAN Engineers Register (AER) into the ASEAN Engineering Register (AER) to include the registration of the entire engineering team comprising the Engineers, Engineering Technologists, Technicians and related Associates. a {To faciitate the mobility and professional practice of Engineers, Engineering Technologists, Technicians and related Associates within the [ASEAN ambit by establishing a framework of mutual recognition of qualifications amiongst the ASEAN member countries whereby AER registered Engineers, Engineering Technologists, Technicians and related Associates who wish to take up employment, do business and/or practice outside their home Institution/country may carry with them an approved and recognized professional/semiprofessional qualification ‘To safeguard and promote the professional interests of Engineers, Engineering Technologists, Technicians and related Associates; lil, Toestablch a database ofthe capability profiles of AER registered Engineers, Engineering Technologists, Technicians and related Associates in| ‘order that prospective employers from member countries may engage thelr services. ‘To uphold the quality and standing of AER registered Engineers, Engineering Technologists, Technicians and related Associates by facitating iv ‘and implementing continuous improvement through the setting, monitoring and reviewing of standards;\V__Tospromote cultural and professional links among members ofthe engineering profession within ASEAN; \vi_Toenhance the wealth creation process of ASEAN countries. “The minimum requirements for an applicant to be admitted into the AER are as stated below: (A) ASEAN ENGINEER (AE) (8) ASEAN ENGINEERING TECHNOLOGIST (AET) i MUST possess an Engineering/Engineering Technologist degree recognized by the home institution/country; ii MUSTbe a full member of the Engineering or Technological Association and licensed to practice in the home Insttution/country; and |i MUST have a minimum of seven (7) years post-graduate working experience in an engineering environment, of which a minimum of two (2) years will be of substantial charge. (C) ASEAN TECHNICIAN (AT) i MUST possess an Engineering Technologist diploma recognized by the home country. Such diploma programs must be ablé ‘to meet the requirements of the Dublin Accord or equivalent; MUST be a full member of the Engineering or Technological Association and licensed to work in home institution/country; iii MUST have a minimum of seven (7) years post-qualification working experience in an engineering environment, of which a ‘minimum two (2) years will be of substantial charge; or For candidate with a certificate in Engineering or Technical Association "ASEAN ENGINEERING REGISTER (AER) — Notes for application Kindly complete the application form overleaf, and submit it together with 1 copy of a recent passport photograph (n.r.) with your name written at the back of the photograph, along with the required remittance for the Entrance Fee & Subscription Fee to your respective Home Engineering Organisation or Technical Association. On successful registration with the AER, you will then be provided with a username and password to update your personal particulars, experience and capability profile in your database. This database will be open to ‘searches’ on the world wide web. ‘AER PAYMENT INFORMATION. (A) ASEAN Engineer (AE); and (B) ASEAN Engineering Technologist (AET) © RM 840 for applicants from Malaysia ‘© USD 200 for applicants from Brunei, Indonesia, Philippines, Singapore and Thailand ‘© USD 100 for applicants from Cambodia, Laos, Myanmar and Vietnam (C) ASEAN Technician (AT) ‘© RM 630 for applicants from Malaysia ‘© USD 150 for applicants from Brunei, Indonesia, Philippines, Singapore and Thailand ‘© USD 75 for applicants from Cambodia, Laos, Myanmar and Vietnam. "(0) Associate ASEAN Engineer (AE); {E) Associate ASEAN Engineering Technologist (AAET); and(F) Associate ASEAN Technician (AAT) ¢ RM 80 for applicants from Malaysia ¢ USD 20 for applicants from Brunei, Cambodia, Indonesia, Laos, Myanmar, Philippines, Singapore, Thailand and Vietnam Payment should be made with Entrance fee of. AE/AET/AT - RM 60.00 for Malaysia USD15.00 for Brunei, Indonesia, Philippines, Singapore and Thailand or USD10.00 for Cambodia, Laos, Myanmar and Vietnam 1 For all applicants (except Malaysia) payment should be made to the Applicant's Home Engineering Organisation or Technical Association. 2. For Malaysia:- ‘© AE & AAE applicants - Cheque/MO/PO can be made payable to “IEM AER ACCOUNT’. We do not accept payment via credit card. ‘© AET / AT / AAET / AAT - Cheque/MO/PO can be made payable to ‘Technological Association Malaysia’. THE ASEAN ENGINEERING REGISTER SECRETARIAT c/o The Institution of Engineers, Malaysia Bangunan ingenieur Lots 60 & 62, Jalan 52/4 PO Box 223 (Jalan Sultan) 46720 Petaling Jaya, Selangor DE, Malaysia Tel : 603 ~ 7968 4001/4002 Fax : 603 - 7957 7678, Email : aer@iem.org.my Web-site : www.aer.afeo.org