application for registration as fire safety engineer (fse)

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APPLICATION FOR REGISTRATION AS FIRE SAFETY ENGINEER
Instructions to applicants:
1. The applicant shall submit the following documents to the Fire Safety Engineers (FSE)
Selection Panel:a. Completed prescribed application form for registration as Fire Safety Engineers
b. Certified true copies of documentary evidence of the applicant’s qualifications and
practical experience, if any;
c. Recent testimonials from 2 local referees in Singapore as to his good character. The
referees are to submit the attached Letter of Reference directly to SCDF; and
d. A letter of undertaking by the applicant, stating as at the date of the letter(i)
whether disciplinary or criminal proceedings
contemplated against the applicant; and
are
pending
or
(ii)
whether the applicant’s professional conduct is or has been under
investigation; and
(iii)
whether the applicant has any previous disciplinary or criminal records.
e. Birth Certificate / Citizenship Certificate (Photocopy)
f. A fire safety engineering report for a project that best illustrates the range and depth of
his fire engineering knowledge. As a guide, the format for the report can be downloaded
here:
http://www.scdf.gov.sg/downloads/FS_Plan_Approval/Format_of_Engineering_Report.d
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g. The report shall be reviewed and substantiated by the project FSE as being a true
representation of the applicant’s work. In the case of an applicant who is a foreign
registered FSE, his work shall be reviewed and substantiated by the project director
associated with the project.
2. 5 sets of the above supporting documents are to be submitted, together with a non-refundable
application fee1 of S$250 (before 1 Nov 13) and S$275 (after 1 Nov 13) made payable to
Commissioner SCDF, directly to:
The Secretariat
Fire Safety Engineers Selection Panel
c/o Fire Safety Consultation Branch
Fire Safety & Shelter Department
HQ SCDF
91 Ubi Avenue 4
Singapore 408827
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The revised application fee of $275 for registration as FSE, under Fire Safety (Fire Safety Engineers)
Regulations, will come into operation on 1st November 2013.
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3.
The closing date for the above application is 1 Dec 2013. Any application received after the
closing date will not be considered.
4. It may take you 12 minutes to complete this form.
Prerequisites for applicants
Applicants aspiring to become Registered Fire Safety Engineers under the Fire Safety Act, must
first satisfy the following criteria:
a. Possess at least a degree qualification in the field of fire safety engineering;
b. Have at least 5 continuous years of relevant practical experience in fire design safety
works, of which 3 years or more in aggregate shall involve projects based on fire safety
engineering solutions;
c. Must have maintained a clean record and must not have been found guilty of an offence
under the Fire Safety Act, Professional Engineers Act or Architects Act; and
d. Successful interview with the Fire Safety Engineers Selection Panel.
Notes
1. Only applicants who meet the above requirements will be selected by SCDF to attend an
interview with the Registered Fire Safety Engineers Selection Panel. Successful applicants
who have been shortlisted by the Panel will then be required to attend a briefing conducted
by SCDF, after which they will be registered as Fire Safety Engineers.
2. SCDF reserves the right to accept or reject the applicant for registration as a Fire Safety
Engineer.
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APPLICATION FOR REGISTRATION AS FIRE SAFETY ENGINEER (FSE)
S22B (1) of the Fire Safety Act (CHAPTER 109 A)
Application for (please tick appropriate box)
Have you previously applied to become a Fire Safety Engineer:
* Yes / No
Passport
Size
Photo
PERSONAL DATA
1. Name ( as in NRIC/Employment Pass/Passport/ ) : *Mr/Ms/______________________
2. NRIC/Employment Pass No./Passport No.: __________________
3. Date & Place of issue of NRIC/Employment Pass/Passport. :
______________ & _____________________
4. Date of Birth ( dd/mm/yy ) : _________________
5. Nationality *(please specify) :_____________________
6. Mailing Address (including contact numbers – tel, fax & e-mail ):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
REFEREES
1.
Name of 1st referee : _________________________________________
2.
Name of 2nd referee : _________________________________________
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EDUCATIONAL QUALIFICATIONS
Please list your educational and professional qualifications and attach certified true copies of
these. Original documents are to be produced upon request.
1. Professional qualifications
S/No
Qualification
[including
registration/accreditation with
Professional Bodies eg
Professional Engineer (ME)]
University/Institution
Country
Date
Attained
2. List the awards related to your professional work which you have received
(Please attach documentary evidence)
S/No
Name of Award
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Year of Award
EMPLOYMENT HISTORY
Starting with your present appointment, please indicate your relevant employment history in
reverse chronological order.
From
(dd/mm/yy)
To
(dd/mm/yy)
Appointment /
Post
Name of Firm /
Organisation
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Employment
Sector
(Government /
Statutory /
Private /
Self-employed )
WORK EXPERIENCE - LIST OF MAJOR PROJECTS
List the relevant major projects in which you were involved and the nature of the work
performed. Applicant to provide documentary evidence of relevant work experience quoted.
From
(dd/mm/yy)
To
(dd/mm/yy)
Name of Project
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Appointment /
Post held
Nature of Work
Performed
DECLARATION
I hereby declare that
1.
I have not been convicted of any offence by any court of law in Singapore or overseas.
2.
There is currently no case against me for any professional misconduct or negligence.
3.
I have not been subject to any disciplinary action by any professional bodies in Singapore
or overseas with respect to my professional work.
I confirm that all statements made by me on this form are correct.
________________________
Signature of Applicant
________________________
Name
_______________________
Date
Note:
Any inaccurate or false information or omission of material facts will render this application
invalid and if selected as a Fire Safety Engineer on the basis of such information, the registration
will be revoked.
CONFIDENTIAL
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LETTER OF REFERENCE
Name and address of referee:
_____________________________
_____________________________
_____________________________
_____________________________
SCDF would appreciate a confidential report from you on the applicant named below who is
applying to be a Fire Safety Engineer under the Fire Safety Act. Please do not return this letter of
reference to the applicant but to mail it direct to the following address before ______________.
The Secretariat
Registered Fire Safety Engineers Selection Panel
c/o Fire Safety Consultation Branch
Fire Safety & Shelter Department
HQ SCDF
91 Ubi Avenue 4
Singapore 408827
Name of Applicant:
1.
2.
_____________________________________
How long have you known the applicant and in what capacity?
Please comment on the applicant’s professional ability and personal character.
_________________
Signature of Referee
_______________________
Designation
______________________________
Name and NRIC No. of Referee
_____________________________
Name and Address of Organisation
__________________
Date
P.S.
Letter of reference to be mailed to the referee by the applicant. Alternatively, this letter
can be downloaded direct from SCDF’s website by the referees.
CONFIDENTIAL
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