GENERAL PRACTICE DIVISION
ASSESSMENT OF PROFESSIONAL COMPETENCE
Application for APC Part II Assessment 2016 (for referred candidates)
PROBATIONER’S NO.:
FORM APC6/GP/F2
____________
SECTION 1: Personal Details
Surname:
Other name(s):
Full Name in Chinese:
Correspondence address:
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Please note that the information below should be the same as the Membership
Record.
Name of Present Employer:
Name of Previous Employer:
Office Tel. no.:
Fax no.:
Mobile Phone no.:
E-mail address:
SECTION 2: Eligibility
No. of previous attempts:
Date of last attempt:
Date of Registration in HKIS APC and commencement of diary recording
No. of days of diary experience recorded since last attempt (up to the date of
this application, April 2016)
No. of days of diary experience expected to be recorded since last attempt (up to
the date of assessment, 2 June 2016)
No. of PQSL hours expected to be recorded since last attempt (up to the date of
assessment, 2 June 2016)
I passed my Part I Assessment/ Written Assessment in:
days
days
hours
2014/2015/Others:
How many times did you fail the Part II Assessment after you had passed the last
Part I Assessment/ Written Assessment? (including the first one taken together with
the Part I Assessment/ Written Assessment)
Have you submitted the Notification of Change of Employer (COE), Supervisor
(COS) or Counsellor (COC)? (If yes, please state the latest date of your submission
or approval)
SECTION 3: Details of Qualification
Name of College/University
Details of Degree/Diploma awarded
Date of Degree/Diploma awarded
□
□
YES
NO
Date: _________________
COE / COS / COC*
SECTION 4: Final Assessment
i)
Please tick your specialist area (one box only.)
1
2
Valuation of Land & Bldgs. In
Asset Mgt. I including Estate Mgt.
relation to Capital & Rental Values.
Practice.
4
Statutory Valuation 1 – Property
Taxation & Rating.
7
Planning & Development.
10
Housing Management.
3
Asset Mgt. II and Agency
Practice.
5
Statutory Valuation 2 – Compulsory
Acquisition and Compensation.
6
Bldg. Consultancy including
Repairs & Maintenance.
8
Property Research.
9
Housing Policy/Provision.
11
Business Valuation.
ii)
Please indicate below the category of property with which you are most familiar.
Commercial / Residential / Industrial *
iii)
Have you applied under Annex I “Special Requirements for Research Experience” of the APC Rules & Guide
June 2012 Edition for research to be counted towards your diary?
YES / NO *
iv) Please indicate the number of days that you have recorded up to the date of application in the applicable areas of
the following table :
Area
Since last
referral
Cumulative
total
(days)
(days)
Area
1. Valuation of Land and
Bldgs. in
relation to
Capital & Rental Values
7. Planning &
Development
2. Asset
Management
I
including
Estate
Management Practice
8. Property Research
3. Asset Management II and
Agency Practice
4.
Statutory Valuation 1 –
Property Taxation and
Rating
5.
Statutory Valuation 2 Compulsory Acquisition and
Compensation
6. Building
Consultancy
including
Repairs
and
Maintenance
Since last
referral
Cumulative
Total
(days)
(days)
9. Housing
Policy/Provision
10. Housing Management
11. Business Valuation
TOTAL
:
*Delete whichever is inapplicable.
SECTION 5: Fees
□ I enclosed an application fee of HK$800 for the Part II Assessment and make cheque payable to
“Surveyors Services Ltd.”
SECTION 6: Declaration
I declare that I have completed this Application Form with reference to the relevant Supplemental Notes
and that all particulars given in this application and in all documents attached herewith are true and
correct. I further declare that the Critical Analysis submitted together with this application was written by
me and in my own words, except for quotations from published and unpublished sources which are clearly
indicated and acknowledged as such.
I acknowledge that I am allowed to sit for Part II Assessment in June 2016. If I fail the Part II Assessment
five times (including the first one taken together with the Part I Assessment/Written Assessment), I will be
directed to take the full Final Assessment (including the Part I Assessment and participation of the 40hour mandatory CPD Programme organized by the GPD Education Committee with not less than 80%
attendance as described in Section 8 of the GPD APC Rules and Guide June 2012 Edition).
Signature of Candidate :
Date :
Full Name of Supervisor:
Signature of Supervisor :
HKIS no.:
Date :
Company Name of Supervisor:
Contact no.:
Full Name of Counsellor:
Signature of Counsellor :
HKIS no.:
Date :
Company Name of Counsellor:
Contact no.:
Full Name of Employer :
Employer signature or Company chop :
Date :
* Delete whichever is inapplicable.
Remarks:
Candidate’s application shall include the following:1) This APC6/GP/F2 Form;
2) One passport-sized photograph;
3) Logbook & Log sheet (Full record);
4) A Critical Analysis (typewritten in triplicate & a CD Rom containing the scanned copy of the Critical Analysis);
5) Record of pre-qualification structured learning (PQSL) (Full record);
6) Relevant Fee for the Part II Assessment. Please make a cheque payable to “Surveyors Services Ltd.”; and
7) A copy of the latest Chairman’s Report (Oral Assessment).
NOTE
Failure to complete all of the above may result in the application being rejected.
For any changes of Employer, Supervisor or Counsellor after submission of Form APC6/GP/F2,
candidates must inform the HKIS immediately for approval.
All applications should reach the HKIS Secretariat no later than 12:30pm, Saturday, 30 April 2016.
Late application will not be entertained
PLEASE COMPLETE THIS SLIP AND ATTACH IT TO YOUR APPLICATION FORM APC6/GP
Room 1205, 12/F, Wing On Centre, 111 Connaught Road Central, Sheung Wan, H.K.
Tel.: 2526 3679
Fax: 2868 4612
We (the HKIS) acknowledge receipt of the following candidate’s application for the APC Part II
Assessment 2016 (For referred candidates).
Name:
Address:
FOR HKIS OFFICE USE ONLY
GENERAL PRACTICE DIVISION
ASSESSMENT OF PROFESSIONAL COMPETENCE
Supplemental Notes for Candidates
Applying for APC Part II Assessment 2016 under FORM APC6/GP/F2
1.
All Candidates should note the HKIS Rules & Guide to the Assessment of
Professional Competence (APC), General Practice Division June 2012 Edition
which could be downloaded from the HKIS website.
2.
Candidates must be a Probationer of the Institute, and pay the current and/or
outstanding subscription fee for the membership. Non compliance will result in
your application being rejected.
3.
Please complete all relevant sections of the Application Form APC6/GP/F2.
Incomplete application will not be processed.
4.
For any changes of employment, the HKIS’ approval to the changed arrangements
for professional training and experience must be obtained by making a
supplementary application on Form APC1S/GP to the HKIS Secretariat. Failure to
do so may result in your application being rejected.
5.
All Candidates are required to add the Plagiarism Statement in relation to “no
plagiarism” in their Critical Analysis immediate before their declaration
signature. Any submission without the incorporation of this statement will not be
accepted.
6.
Please note that all applications together with the relevant documents must be
submitted to the HKIS Secretariat no later than 12:30 pm, Saturday, 30 April
2016.
7.
The APC Part II Assessment 2016 for referred candidates of the APC Final
Assessment in the General Practice Division will take place between 2 June and 4
June 2016. Candidates will be informed of the exact date and time of the
assessment by mid-May 2016.
8.
Please note that if candidates fail the Part II Assessment five times (including the
first one taken together with the Part I Assessment/Written Assessment), they will
be directed to take the full Final Assessment as described in Section 8 of the GPD
APC Rules and Guide June 2012 Edition. Candidates must complete a further
minimum 90 days relevant professional training before attending the Final
Assessment.