Rev. no.

:
Date:
BEM/Form/T&E/02

BEM PRE-APPROVED CPD ACTIVITY

Checklist For BEM Use only

1 Official Cover Letter (with Letterhead)
APPROVED / DECLINED
2 BEM Pre-Approved CPD Activity Form CPD Hour Approved: CPD Hours
Complete Submission Date:
3 Activity Brochure (if any)

4 Speaker CV

CPD ACTIVITY
Title:

Summary:

Date (Start): Date (End):

Venue:

Fees charged: RM per pax Organiser Stamp (Name and Address):

Contact Person:

Contact No.:

CPD Hours Email

Applied: CPD Hours Address:
*1 Contact Hour = 1 CPD Hour

PROFILE: SPEAKER
Name:

BEM Registration No.:

Academic
Qualifications:

Experience

Total: years
Please use additional sheets of paper if required
* ‐ to be filled if applicable
Note: CPD Application is to be submitted at least 2 months prior to CPD Activity date. ONLY COMPLETED CPD Application Form will be processed.
Usage of BEM Logo in any promotional materials is strictly PROHIBITED.
 Rev. no.:
Date:
BEM/Form/T&E/02

BASIS OF CPD HOURS APPLIED FOR (Itinerary) :

Date Program Contact Hours CPD Hours

Applied for
Time
Topic:

Synopsis of Topic:

Speaker:
1.
2.

Topic:

Synopsis of Topic:

Speaker:
1.
2.

Topic:

Synopsis of Topic:

Speaker:
1.
2.

Total Contact Hours

Total CPD Hours Applied for

Please use additional sheets of paper if required

Submitted By:

Signature:

Name:

Position:

Date:

* ‐ to be filled if applicable
Note: CPD Application is to be submitted at least 2 months prior to CPD Activity date. ONLY COMPLETED CPD Application Form will be processed.
Usage of BEM Logo in any promotional materials is strictly PROHIBITED.
 BEM PRE-APPROVED CPD ACTIVITY

Checklist For BEM Use only

1 Official Cover Letter(with Letterhead) √
APPROVED / DECLINED
2 BEM Pre-Approved CPD Activity Form √ CPD Hour Approved: CPD Hours
Complete Submission Date:
3 Activity Brochure (if any) √

4 Speaker CV √

CPD ACTIVITY
Title: BEM WEBINAR 2022 – PROFESSIONAL CERTIFICATE
EXAMINATION (PCE)

Summary: Objective :
1) Explain requirements of PCE.
2) Go through syllabus and sample questions.
3) Meet the examiners and find out what their expectations.

Date (Start): 1.10.2022 (Thursday) Date (End): 1.10.2020 (Thursday)

Venue: ZOOM Platform

Fees charged: RM FREE per pax Organiser Stamp (Name and Address):

Contact Person: SITI BALQIS BINTI MOHD BOARD OF ENGINEERS MALAYSIA

NASIRUDDIN Tingkat 17, Blok F, Ibu Pejabat JKR,
Jalan Sultan Salahuddin,
Contact No.: 03 2691 2090 50480 W.P Kuala Lumpur
(EXT: 181)
CPD Hours Email
Applied: 2 CPD Hours Address: event@bem.org.my
*1 Contact Hour = 1 CPD Hour

PROFILE: SPEAKER
Name: Ir. K. SUNDRARAJ

BEM Registration No.: C1xxxx7 (BEM)

Academic B. Sc. (Hons.) in Civil Engineering

Qualifications: - Queens Mary College, University of London, United Kingdom
Experience He is presently a Director of Zaidun Leeng Sdn. Bhd., an engineering consultancy firm, and has 30
years of experience in design, construction and project management of Civil Engineering projects. He has been
involved in the design and construction of Bridges and Flyovers since 1989 and is responsible for the Bridge
and Civil Structures design works undertaken by the company.
He has gained experience in designing and construction of bridges and civil structures for major
Highways in Malaysia. His vast experience covers conceptual, preliminary and detailed design, construction,
technical specifications and quality control / quality assurance procedures for construction of various
components of the bridges and civil structures. His site experience of six (6) years include supervision of
construction of major bridges of different types for the SPRINT Highway, buildings, culverts and retaining
walls.
Total: 30 years
Please use additional sheets of paper if required

* - to be filled if applicable
Note: CPD Application is to be submitted at least 2 months prior to CPD Activity date. ONLY COMPLETED CPD Application Form will be processed.
Usage of BEM Logo in any promotional materials is strictly PROHIBITED.
 BEM PRE-APPROVED CPD ACTIVITY

BASIS OF CPD HOURS APPLIED FOR (Itinerary) :

Date Program Contact Hours CPD Hours

Applied for
Time
(1.10.2022) Topic: PCE – Common Paper
10.30AM –
12.00PM
Synopsis of Topic: Briefing on Syllabus and their
90 minutes 1.5
Marking weightage, & Sample Questions

Speaker:
1. Ir. K. Sundraraj
2.

12.00PM – Topic: Q&A Session

12.30PM 30 minutes 0.5

Synopsis of Topic:

Speaker:
1.
2.

Topic:

Synopsis of Topic:

Speaker:
1.
2.

Total Contact Hours 2.0

Total CPD Hours Applied for 2

Please use additional sheets of paper if required

Submitted By:

Signature: SitiBalqis
Name: SITI BALQIS BINTI MOHD NASIRUDDIN

Position: ADMIN OFFICIER

Date: 1.8.2022

* - to be filled if applicable
Note: CPD Application is to be submitted at least 2 months prior to CPD Activity date. ONLY COMPLETED CPD Application Form will be processed.
Usage of BEM Logo in any promotional materials is strictly PROHIBITED.
 BEM PRE-APPROVED CPD ACTIVITY

PROFILE: SPEAKER
Name:

BEM Registration No.:

Academic
Qualifications:

Experience

Total: years

PROFILE: SPEAKER
Name:

BEM Registration No.:

Academic
Qualifications:

Experience

Total: years

* - to be filled if applicable
Note: CPD Application is to be submitted at least 2 months prior to CPD Activity date. ONLY COMPLETED CPD Application Form will be processed.
Usage of BEM Logo in any promotional materials is strictly PROHIBITED.
 BEM PRE-APPROVED CPD ACTIVITY

BASIS OF CPD HOURS APPLIED FOR (Itinerary) :

Date Program Contact Hours CPD Hours

Applied for
Time
Topic:

Synopsis of Topic:

Speaker:
1.
2.

Topic:

Synopsis of Topic:

Speaker:
1.
2.

Topic:

Synopsis of Topic:

Speaker:
1.
2.

Topic:

Synopsis of Topic:

Speaker:
1.
2.

Total Contact Hours

Total CPD Hours Applied for

* - to be filled if applicable
Note: CPD Application is to be submitted at least 2 months prior to CPD Activity date. ONLY COMPLETED CPD Application Form will be processed.
Usage of BEM Logo in any promotional materials is strictly PROHIBITED.