Application Form For Epe
Application Form For Epe
Application Form For Epe
Photo
(Passport size)
PERSONAL INFORMATION
Name: ________________________________________
Fathers Name: _________________________________
QUALIFICATION
Qualifications
2.1 F.Sc
or Equivalent
2.2 B.E. /B.Sc.
Engg. Degree or
Equivalent
2.3 Post-graduate
Diploma/Degree
or Equivalent
2.4 Doctorate
(Ph. D)
or Equivalent
Name of
University/
College/
Institute/Board
Year of
Passing
Obtained
Marks
/Total
Marks
Certificate/Degree
%age with discipline
2.5
3.
EMPLOYMENT STATUS
Sr. Name of
No. Company/
Organization
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8
Status
Designation
(Govt./Semi-Govt/
Autonomous/Private)
Experience
From-To
Experience
Years/
Months
4.
Sr.
#
Sub-Category
(As per Annex-A
of CPD Byelaws)
Professional
Engineering
Body
Credit
Hours
Claimed
4.1 Formal
Education
(Higher
Education duly
recognized
by
PEC/HEC)
4.2 Work Based
Learning
(Work
Experience,
Engineering
related
work
including
Management)
4.3 Developmental
Activities
(Conferences,
Seminars,
Workshops,
Lectures,
memberships
etc.)
4.4 Individual
Activities
(Symposium
Panelist,
Authoring of
Book, recognized
social work etc.)
Total
5.
ANY OTHER ACHIEVEMENT
_______________________________________________________
Note: Attach additional sheets if required.
Credit
points
Claimed
Remarks
6.
7.
Sr. No.
7.1
7.2
7.3
8.
FEE
Prescribed Fee of Rs5000/----for EPE has been paid in Bank
BranchVide Challan No/Draft No Datedin
favor of Pakistan Engineering Council Islamabad
9.
DECLARATION
I wish to take the EPE for (spring/fall) year 20..as prescribed by PEC in
discipline as mentioned in the application form.
I also undertake to abide by the PEC Act, Bye-Laws, relevant rules and Codes of
Ethics and Conduct, prescribed for the members of the Council.
I certify that the above particulars mentioned by me are true and correct.
Date: ________________
10.
SPONSORS
From Personal knowledge of the applicant and in consideration of his/her qualifications
as stated in the form, we recommend him/her as being in every way a fit and proper
person to be certified as Professional Engineer.
10.1
Sponsor-1
Sponsor-2
2.
In what capacity.
3.
Advisor
Sr. Colleague
Colleague
Friend
Client
4.
Employer
No
If yes please give your own impression of the candidate and why you consider him or her
a fit person to be certified as Professional Engineer (PE)in around 50 words.
Accounts Section
Mode:
Received Rs.____________________
Receipt No._____________________
Cash
Cheque
Chq/DD No.______________________________
DD
(Accounts Executive)
CPD Wing
Discipline: _________________________ 2. PEC Reg No: ______________________
Renewal Upto: _____________________ 4. Registration Year:__________________
Experience: ________________________ 6. CPD Credit Points: _________________
Recommendations of CPD Wing:
(Eligible / Not Eligible)
C.
EPE Wing
Marks Obtained
Total Marks
Part-I
Part-II
Part-III
Total
11. For PE Title
(Selected / Not Selected)
Discipline: __________________
Registration Number: _______________
Percentage
Remarks
Appendix-I
Professional Areas of Practice/ Specialization for
the title of Professional Engineer (PE)
(Based on academic qualifications, professional experience, and CPD acquired by the
candidate)
1.
2.
3.
4.
5.
1.
2.
3.
4.
5.
Metallurgical Engineering
Foundry Engineering
Advanced Materials
Surface Engineering
Nanotechnology
S.#
Mining Engineering
Agricultural Engineering
Textile Engineering
Engineering
3. Utilities and Services Engineering
4. Environment and Process Safety
Engineering
5. Instrumentation and Control
Engineering
6. Thermal Hydraulics
7. Polymer Engineering
8. Biochemical Engineering
9. Energy Engineering
10. Separation Process Engineering
11. Corrosion Engineering
1. Query/ Open Pit Development and
Operation
2. Underground Mining Operation
and Development
3. Mine Rescue and Safety
Engineering
4. Mine Management and Regulatory
Regime
1.
2.
3.
4.
1. Environmental Engineering
2. Machine Systems Engineering
3. Irrigation and Drainage
Engineering
4. Water Resources Development
and Management
5. Process Engineering
6. Energy in Agriculture
1. Yarn Manufacturing
2. Fabric Manufacturing
3. Textile Processing
4. Garment Manufacturing
1. Drilling Engineering
2. Reservoir Engineering
3. Production Engineering