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APPLICATION FOR IES/ACES Mechanical & Electrical RESIDENT TECHNICAL OFFICER (RTO) REGISTRATION

INSTRUCTIONS 1 *Delete accordingly 2 Tick the appropriate box 3 Indicate NA in any space not applicable 4 Follow other directions as indicated 5 Subscription Fee: S$107 /Application Fee: S$64.20 (non-refundable) (incl.7% GST) 6 Applicants are required to bring original qualifications to IES for verification

Passport Size Photo

Personal Particulars 1 Full Name (in block letters): *Dr/Mr/Mrs/Ms/Mdm ___________________________________________________ (Underline surname)

Identification No: ______________________________________Nationality: _________________________ *(Singapore NRIC/PR/Passport)

Date and Place of Birth:_______________________________ Written/Spoken Language__________________________

Telephone No: _____________________________(Home) ____________________________ (Office/Pager/HP)

Mailing Address: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________

6 B

Email Address :_______________________________

Eligibility # Entry Qualification: 1 Degree from any local/foreign university: (Date of Degree:___________) _____________________________________________

Diploma from any local/foreign polytechnic in Mechanical Engineering or Electrical Engineering: (Date of Diploma:___________)

_____________________________________________

Others : _______________________________________________________________

# To attach a CERTIFIED TRUE COPY of your qualification endorsed by the Professional Engineer or to the Joint Accreditation Committee

RTO October 2012

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Current Employment 1 Current Employer a) b) 2 Professional Engineer Developer/Builder

Name of Current Employer : ____________________________________________________

Criminal Record Any criminal conviction/offence under Singapore Law Yes* No

If Yes*, please provide details (if space below is insufficient, please attach) _________________________________________________________________________________________________________ _________________________________________________________________________________________________________

_________________________________________________________________________________________________________

Resident Technical Officer 's Declaration I hereby declare that all the particulars and information provided in this form and the appendices attached are true and accurate to the best of my knowledge. I hereby declare that I have read and will abide to the Terms and Conditions for accreditation as well as the Rules for Professional Conduct and Discipline.

______________________________________ Signature of Applicant for Resident Technical Officer

______________________ Date

Professional Engineer's Recommendation (any one of the supervising Professional Engineers as in Appendix 1) F I have personally checked and verified the above, the Resident Technical Officers academic qualifications, and the years of practical experience in design or site supervision of mechanical or electrical works. I recommend that the applicant to be considered for the registration based on the required qualifications and experience (see Appendix 1), if applicable, as prescribed.

_____________________________________ Professional Engineer's Stamp and Signature

______________________ Date

RTO October 2012

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DETAILS OF POST-GRADUATE DESIGN OR CONSTRUCTION EXPERIENCE


Applicants Name : _______________________________________ Date (dd/mm/yyyy) From To Project Title Project Reference no. Cost of Project Position Held Describe in detail types of mechanical or electrical works designed and supervised and degree of responsibilities in each engagement (If space below is insufficient use next page) Duration of involvement in Design / Site supervision Indicate the number of months involved in each engagement in the Project (please specify) Full Time or Part Time (please specify) Name of the supervising professional engineer (PE) in this engagement Address Name Details of Work Experience Employer

APPENDIX 1

Use this margin for verification by the supervising *Professional Engineer (Sign & Stamp)

Total (Years & Months) * To be endorsed by Professional Engineer in the Mechanical or Electrical Engineering discipline. Note: It is an offence to make or produce to the Joint Accreditation Committee (M&E) any document, declaration, certificate, report, record or notice which is false in a material particular. RTO-Appendix 1, October 2012 Page 3 of 4

NOTES All applications shall be accompanied with: I. II. a. b. A fully completed prescribed application form; A copy of one of the following academic qualification: A degree from any foreign university or a diploma from any local polytechnic in Mechanical or Electrical Engineering; A diploma in any building services-related field from any local polytechnic. At least, one year of such relevant practical experience in full-time supervision of mechanical or electrical works in construction sites in Singapore is required; A diploma or higher certificate from any foreign polytechnic in Mechanical or Electrical Engineering. At least, 3 years of such relevant practical experience in full-time supervision of mechanical or electrical works in building services site is required; A higher certificate or GCE in technical stream. At least 4 years of such relevant practical experience in full-time supervision of mechanical or electrical works in building services sites in Singapore is required; Or minimum 10years of relevant practical experience in full-time supervision of mechanical or electrical works in building services sites. A degree from any foreign university in Mechanical or Electrical Engineering or building services. At least, one year of such relevant practical experience in full-time supervision of mechanical or electrical works in construction sites is required;

c.

d.

e.

ADDITIONAL NOTE: An interview is required for applicants above the age of 65. Professional Engineers (PE) with valid practicing certificate in Mechanical or Electrical discipline or Building Servicesrelated are NOT required to register. SUBMISSION OF DOCUMENTS (WITH PAYMENT REQUIRED) Joint Accreditation Committee (M&E) c/o The Institution of Engineers, Singapore 70 Bukit Tinggi Road, Singapore, 289758 Payment: Cheque made payable to IEH-ACESing Joint Registry Please indicate clearly applicant s full name at the back portion of the cheque. Do not staple cheque with other documents.

RTO-Appendix 1, October 2012 Page 4 of 4

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