Application Form For New EPE Applicants.70035506

PAKISTAN ENGINEERING COUNCIL
APPLICATION FORM FOR

ENGINEERING PRACTICE EXAMINATION (EPE)
(For new applicants) Photo
(Passport size)
1. PERSONAL INFORMATION
Name: ________________________________________
Father’s Name: _________________________________
PEC Registration No. with Discipline:____________ Date of Registration:____________
Gender: _____________ Nationality: _______________
Date of Birth: ________/________/________

(Day) (Month) (Year)
Present (Postal ) Address:___________________________________________________
________________________________________________________________________
Permanent Address: _______________________________________________________
________________________________________________________________________
Phone Number (Line No): __________________Mobile No:_______________________
E-mail:______________________________
2. QUALIFICATION
Name of Year of Obtained Certificate/Degree

2. Qualifications University/ Passing Marks /Total %age with discipline
College/ Marks
Institute/Board
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
2.5 Any Other non-engineering qualification (Post-graduation) obtained:
______________________________________________________________________________
______________________________________________________________________________
Note: In case of qualification in more than one engineering discipline, indicate field of
specialization.
3. EMPLOYMENT STATUS
Sr. Name of Status Designation Experience Experience

No. Company/ (Govt./Semi-Govt/ From-To Years/ Months
Organization Autonomous/Private)
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8
4. CPD SCORE ACCUMULATED SINCE 10TH JULY 2010
(Enclose attested documentary evidence)
Sr. Category Sub-Category Professional Credit Credit Remarks

# (As per Annex-A Engineering Hours points
of CPD Byelaws) Body Claimed 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.
6. PROFESSIONAL AREA OF PRACTICE/SPECIALIZATION APPLIED FOR TITLE OF

PROFESSIONAL ENGINEER (PE)
(to be selected from enclosed Appendix-I based on qualification, professional experience, and
CPD acquired by the candidate)
______________________________________________________________________________
7. EXAMINATION CENTRES (For detail visit PEC website)
Preferred locations in order of priority (select any three)

Sr. No.
(Islamabad, Karachi, Lahore, Quetta, Peshawar)
7.1
7.2
7.3
8. FEE
Prescribed Fee of Rs 5000/- + Bank charges for EPE through MCB TBD A/c No. 0685583041005497
or HBL A/c No. 00427901578603 has been paid in Bank ……………Branch………………
Dated………………… in 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 undertake to inform the EPDC/PEC of any change in my postal address and profession.
• I have no objection against my EPE process being stopped, should there be inaccuracy in
the submitted information.
• 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: ________________ Signature of the Engineer:___________________

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
Name: ________________________PEC Registration Number: ____________
Discipline:___________________________Experience:__________________
Designation:___________________Status:_____________________________
Signature: ___________________
Date:____________________ Official Stamp:__________________________
10.2 Sponsor-2
Name: ________________________PEC Registration Number: ____________
Discipline:_______________________________Experience:______________
Designation:__________________Status:______________________________
Signature: ____________________
Date:_______________________ Official Stamp:_______________________
Note: An application shall be supported or sponsored by two professional engineers with fifteen years
of experience.
Instructions:
Please ensure provision of following documents with the application form:

1. Attested copy of valid PEC registration certificate (Form PEC-7)
2. Attested copies of experience certificates
3. Supporting documents of CPD activities
4. Attested copy of CNIC
5. Two passport size photographs (duly attested on the back side)
6. EPE fee paid receipt in original.
Applications must be sent to:

Additional Registrar CPD
Pakistan Engineering Council,
Ataturk Avenue, Sector G-5/2,
Islamabad.
To be filled by each Sponsor
(Confidential when completed)
To be filled by each sponsor and send separately to EPDC/PEC in a sealed envelope;
Report on Mr/Miss____________________________ S/O, D/O______________________
Discipline:___________________________ PEC Registration No:___________________
1. How long have you known the applicant ……………………Years
2. In what capacity. Employer Advisor Sr. Colleague
Colleague Friend Client
3. Do you recommend the applicant for certification as Professional Engineer.
Yes No
4. 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.
Signature: ____________________ Name of Sponsor:____________________________
Discipline: ____________________________Experience:__________________________
PEC Registration No: ____________________________
Correspondence Address: ____________________________________________________
_________________________________________________________________________
Contact No: ____________________________ Email id:___________________________
Send to:-
Additional Registrar CPD, Pakistan Engineering Council,

Ataturk Avenue (East), G-5/2, Islamabad
(FOR OFFICE USE ONLY)
A. Accounts Section
Mode: Cash Cheque DD
Received Rs.____________________ Online Receipt No. ________________________
Bank Name ______________________________
(Signature of Accounts Clerk) (Accounts Associate)
B. CPD Wing
1. Discipline: _________________________ 2. PEC Reg No: ______________________

3. Renewal Upto: _____________________ 4. Registration Year: __________________
5. Experience: ________________________ 6. CPD Credit Points: _________________
7. Recommendations of CPD Wing:
(Eligible / Not Eligible)
C. EPE Wing
8. EPE Roll No:_____________________ 9. EPE Centre:_______________________
10. EPE Grading:
Sections Marks Obtained Total Marks Percentage Remarks
Part-I
Part-II
Total
11. For PE Title
(Selected / Not Selected)
Discipline: __________________
Registration Number: ______________
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)
Professional Areas of Practice/ Specialization

S.# PEC Registered Engineering Disciplines for title of PE
(select only one from within the discipline)
1 Electrical Engineering and Allied 1. Electric Power
Disciplines 2. Electronic Engineering
(Electrical/ Electronics/ Industrial 3. Industrial Electronics
Electronics/ Telecommunication/ Avionics/
4. Telecommunication Engineering
Mechatronics/ Biomedical/ Computer/
Engineering Sciences) 5. Avionics Engineering
6. Mechatronics Engineering
7. Biomedical Engineering
8. Computer Engineering
2 Civil Engineering and Allied Disciplines 1. Structures
(Civil/ Transportation/ Urban/ Environment/ 2. Transportation
Building & Architecture) 3. Geotechnical
4. Construction Management
5. Water Resources
6. Environmental Engineering
7. Urban Engineering
8. Building and Architectural Engineering
3 Mechanical Engineering and Allied 1. Thermo-fluids Engineering
Disciplines 2. Manufacturing Engineering
(Mechanical/ Industrial and Manufacturing/ 3. Design Engineering
Aeronautical Engineering-Aerospace only)
4. Control Engineering
5. Aerospace Engineering
4 Metallurgy and Materials Engineering 1. Metallurgical Engineering
(Metallurgical Engineering/ Metallurgy and 2. Foundry Engineering
Materials Engineering ) 3. Advanced Materials
4. Surface Engineering
5. Nanotechnology
5 Chemical & Polymer Engineering 1. Process Synthesis, design and Optimization

(Chemical Engineering/ Polymer 2. Operation and Production 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
6 Mining 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
7 Agricultural Engineering 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
8 Textile Engineering 1. 1. Yarn Manufacturing
2. 2. Fabric Manufacturing
3. 3. Textile Processing
4. 4. Garment Manufacturing
9 Petroleum and Gas Engineering 1. Drilling Engineering
2. Reservoir Engineering
3. Production Engineering

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PAKISTAN ENGINEERING COUNCIL

APPLICATION FORM FOR

Father’s Name: _________________________________

PEC Registration No. with Discipline:____________ Date of Registration:____________

Gender: _____________ Nationality: _______________

Date of Birth: ________/________/________

Present (Postal ) Address:___________________________________________________

Permanent Address: _______________________________________________________

Phone Number (Line No): __________________Mobile No:_______________________

Name of Year of Obtained Certificate/Degree

Sr. Name of Status Designation Experience Experience

Sr. Category Sub-Category Professional Credit Credit Remarks

4.1 Formal Education

4.2 Work Based

Note: Attach additional sheets if required.

6. PROFESSIONAL AREA OF PRACTICE/SPECIALIZATION APPLIED FOR TITLE OF

7. EXAMINATION CENTRES (For detail visit PEC website)

Preferred locations in order of priority (select any three)

Date: ________________ Signature of the Engineer:___________________

Name: ________________________PEC Registration Number: ____________

Date:____________________ Official Stamp:__________________________

Name: ________________________PEC Registration Number: ____________

Date:_______________________ Official Stamp:_______________________

Please ensure provision of following documents with the application form:

Applications must be sent to:

To be filled by each sponsor and send separately to EPDC/PEC in a sealed envelope;

Report on Mr/Miss____________________________ S/O, D/O______________________

Discipline:___________________________ PEC Registration No:___________________

1. How long have you known the applicant ……………………Years

2. In what capacity. Employer Advisor Sr. Colleague

Colleague Friend Client

3. Do you recommend the applicant for certification as Professional Engineer.

Signature: ____________________ Name of Sponsor:____________________________

PEC Registration No: ____________________________

Correspondence Address: ____________________________________________________

Contact No: ____________________________ Email id:___________________________

Additional Registrar CPD, Pakistan Engineering Council,

Received Rs.____________________ Online Receipt No. ________________________

Bank Name ______________________________

(Signature of Accounts Clerk) (Accounts Associate)

1. Discipline: _________________________ 2. PEC Reg No: ______________________

(Eligible / Not Eligible)

8. EPE Roll No:_____________________ 9. EPE Centre:_______________________

10. EPE Grading:

Sections Marks Obtained Total Marks Percentage Remarks

11. For PE Title

(Selected / Not Selected)

Professional Areas of Practice/ Specialization

5 Chemical & Polymer Engineering 1. Process Synthesis, design and Optimization

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PEC Registration No. with Discipline: Date of Registration:

Gender: _ Nationality: ___

Date of Birth: //

Phone Number (Line No): Mobile No:_____

Date: Signature of the Engineer:___

Name: ____________PEC Registration Number:

Date: Official Stamp:______

Name: ____________PEC Registration Number:

Date:_ Official Stamp:_

Report on Mr/Miss______ S/O, D/O

Discipline:_________ PEC Registration No:_

Signature: Name of Sponsor:________

Contact No: __ Email id:_

Received Rs. Online Receipt No. ____

1. Discipline: ___ 2. PEC Reg No:

8. EPE Roll No:_ 9. EPE Centre:___