This form may take you 20 minutes to complete. APPLICATION AS AN ACCREDITED CHECKER Commissioner of Building Control Building and Construction Authority 52 Jurong Gateway Road, #11-01 Singapore 608550 Please affix a recent passport size photograph Important Guidelines for Application This form is to be used by a Professional Engineer who is applying to be an Accredited Checker for the first time. Applicant should have after registration as a PE(civil/structural), practical experience in the design and construction of buildings in Singapore at a professional level for a period not less than 10 years. Applicant should have experience in the design and supervision of major complex structures such as long-span bridges, viaducts, structures with unconventional or curvilinear geometry e.g. dome or arch-shaped structures, and/or high-rise buildings, preferably 10-storey and above. In addition, applicant should also have experience in the design and supervision of precast, prestressed and steel structures. Applicant must sign as the project QP and the project must be completed before his/her experience can be recognised. Overseas design experience in highrise buildings must be substantiated with proper documents and certifications to prove that the applicant did the actual structural design. The Commissioner of Building Control may require the applicant to undergo an interview to determine whether the applicant has acquired the requisite practical experience. Applicant will be notified on the outcome of the application. If you are successful, you can register either as an Accredited Checker or as Accredited Checker in an Accredited Checking Organisation provided you fulfill the other necessary requirements. 1 Personal Particulars Full Name (in block letters): _____________________________________________________________________________ Identification No: _________________________ Home address: Nationality: __________________ Date of Birth: _________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Name of Firm: _______________________________________________________________________________________ Firm address: _______________________________________________________________________________________ ______________________________________________ Email Address: ____________________________ UEN: _________ Home Tel: ____________ Mobile Tel. ____________ Office Tel. ____________ Fax No: ___________ Date of registration as a PE (Civil) : ___________________ 2 Qualifications: (See BEV/AC1_APPENDIX 1) 3 Membership of Professional Bodies: (See BEV/AC1_APPENDIX 1) 4 Details of Past Employment /Practice: (See BEV/AC1_APPENDIX 2) 5 Details of Practical Experience: (See BEV/AC1_APPENDIX 3) BEV/AC1 [Ver 6.0_Sep_2014] Registration No.: __________________ Page 1 of 5 a) b) I hereby declare that all the particulars and information given in this application form and the appendices attached are true. I have a valid practising certificate issued by Professional Engineers’ Board, Singapore. _____________________________________ (Stamp & Signature of Professional Engineer) BEV/AC1 [Ver 6.0_Sep_2014] _____________________ Date Page 2 of 5 ACADEMIC QUALIFICATION #Degree / Diploma / Others Name of University / College / Educational Institution Country Year of Award MEMBERSHIP OF PROFESSIONAL BODIES #Name of Professional Body Country Grade of Membership (including designatory letters) Membership obtained by Examination / Exemption / Honorary Award Year of Election #To attach photocopy of degree / diploma / certificates. BEV/AC1_APPENDIX 1 [Ver 6.0_Sep_2014] Page 3 of 5 DETAILS OF PAST EMPLOYMENT / PRACTICE (AFTER REGISTRATION AS PE) Year Name of Firm / Practice Position Held From BEV/AC1_APPENDIX 2 [Ver 6.0_Sep_2014] Nature of Business / Practice To Page 4 of 5 PRACTICAL EXPERIENCE Year Name of Project Project Reference No. From To Position held and Degree of Responsibility (to include some indication on the magnitude and complexity of work) Duration of Applicant’s Involvement (Year and Months) +Design / Checking of Design / Research +Supervision / Structural Investigation Construction Cost Height Total Built Up Area + Please indicate actual involvement BEV/AC1_APPENDIX 3 [Ver 6.0_Sep_2014] Page 5 of 5