Department of Public Works and Highways ACCREDITATION OF CONTRACTORS’/CONSULTANTS’ MATERIALS ENGINEERS APPLICATION FORM FOR THE RENEWAL OF CERTIFICATE AND REINSTATEMENT OF ACCREDITATION Materials Engineer II 2" x 2" Photo Materials Engineer I Accreditation Number Name (Last) PRC License Number : Home Address : Mailing Address : Office Name : Office Address : Position Title : Home Tel. No. : Nationality : (First) (Middle) Valid Until Office Tel. No. Birthday Mobile No. Sex Civil Status I certify to the correctness of the foregoing. _________________________________ Signature over printed name ____________________________ Date Requirements for the Renewal of Certificate of Accreditation of Contractors’ and Consultants’ Materials Engineers after Three (3) Years from the Date it was Issued, and the Reinstatement of Accreditation of Previous Government Materials Engineers The following documents shall be submitted to: The Chairman Accreditation Committee for the Contractors’ and Consultants’ Materials Engineers Attention: 1. The Director Bureau of Quality and Safety DPWH, Bonifacio Drive, Port Area, Manila For Renewal of Certificate of Accreditation* b. Request letter of the concerned Materials Engineer signifying intention to renew his certificate of accreditation. c. Original/Renewed Certificate of Accreditation. d. A duly signed Certification of Employment from the current employer, if there is any, indicating the date of employment and/or e. Affidavit attesting that the applicant is not connected/involved or employed with any government office. f. Copy of the latest PRC ID and accreditation card as Materials Engineer. g. Duly accomplished application form for the renewal of certificate. *The Certificate of Accreditation, which is given to all accredited materials engineers, unless revoked or suspended for cause, shall be valid for three (3) years from the date it was issued, and shall be renewed thereafter. The certificate can be renewed, upon submission of the required documents, subject to the evaluation and approval of the Accreditation Committee. 2. For Reinstatement of Accreditation as Materials Engineer** a. Request letter of the concerned Materials Engineer signifying intention to reinstate his accreditation as Materials Engineer. b. Original/Renewed Certificate of Accreditation. c. A duly signed Certification of Separation (resignation or retirement) indicating date of separation signed by the Head of Office or Administrative Officer of his previous government office. d. Certification of Employment from the current employer, if there is any, indicating the date of employment. e. Copy of the latest PRC ID and accreditation card as Materials Engineer. f. Duly accomplished application form for the reinstatement of accreditation. **The accreditation previously issued to all DPWH and other government Materials Engineers which was revoked under D.O. No. 60, series of 2003, can be reinstated, upon submission of the required documents, subject to the evaluation and approval of the Accreditation Committee