renewal form - Institution of Engineers Singapore

RENEWAL FORM
IES/ ACES (C&S) Resident Engineer &
Resident Technical Officer Accreditation
Please tick
☐ Resident Engineer
☐ Resident Technical Officer
Reg. no. Click here to enter text.
Reg. no. Click here to enter text.
Renewal fee: S$64.20 /calendar year inclusive of 7% GST



Please issue cheque made payable to “ IEH - ACESing Joint Registry ”
Please indicate clearly RE or RTO Registration no. & Full name at the back of the
cheque.
Do not staple the cheque with other documents.
Note:
1. All sections of the application form, including APPENDICES I, II, III and IV are to be duly
completed and signed before submission. Incomplete submission will be rejected.
2. In APPENDIX II, please provide the details of your past employment/ practical experience (up 10
Projects in the past 12 months)
3. RE/RTO is required to attain the minimum * 8 STU on a yearly basis for renewal.
a. Details at http://www.ies.org.sg/professional/registry/rerto/STU_Requirement.pdf. Please
update your Training Record in Appendix III.
4. Please keep a copy of Appendix III, STU Record, for your reference for next renewal.
5. For
courses
with
approved
STU(structural)
http://www.ies.org.sg/event.php?category=Courses
and
STU(safety),
please
click
6. Starting 14th September 2015, APPENDIX IV, Performance Assessment Report for RE & RTO
(C&S) by QPS are compulsory for each project supervised during the 1 year period before each
renewal
7. Multiple forms (APPENDIX IV) are required if the RE/RTO had supervised more than 1 project
during the ONE year period before each renewal
8. Testimonial from present Employer/Professional Engineer is to be submitted with this application.
9. RE/RTO above the age of 65 is to produce a medical certificate certifying that they are physically
fit to work on construction site for the renewal of certification; to be submitted together with
renewal form.
10. Professional Engineer (PE) with a valid practicing certificate in Civil & Structural discipline is not
required to register as RE/RTO.
-1Updated 20 May 2016
11. You are encouraged to submit your application via mail. Please send completed application and
cheque payment to :
Joint Accreditation Committee (C&S)
C/o The Institution of Engineers, Singapore
70 Bukit Tinggi Road
Singapore 289758
Submission Checklist:
☐Duly completed and signed renewal form (please attach colored photo)* including
☐ APPENDIX I Updates of Academic Information/ Membership of Professional Bodies
☐ APPENDIX II Detail of Past Employment and experience ( for period of past 1 year )
☐ APPENDIX III STU record with copies of certificates or proof of attendance
☐ APPENDIX IV Performance Assessment Report for RE & RTO (C&S) for each project by QPS
☐Testimonial from present Employer/Professional Engineer in a sealed envelope
☐ Applicants above the age of 65 for renewal of accreditation to submit medical letter to certify they are physically
fit to work on construction sites
RE (TUNNEL) and RTO (TUNNEL) Application
For those who are seeking Specialist Accreditation as RE (T) or RTO (T) please download form Appendix A from
website http://www.ies.org.sg/professional/registry/rerto/RERTOTunnel.pdf
1. PERSONAL PARTICULARS
☐ Dr. ☐ Mr. ☐ Mrs. ☐ Mdm. ☐ Ms.
Name of Applicant in BLOCK letters
Click here to enter text.
NRIC/Passport/I.D. no.
Nationality:
Click here to enter text.
Click here to enter text.
Date & Place of birth:
dd/mm/yyyy
Address:
Click here to enter text.
Click here to enter text.
Contact No:
Email address:
Click here to enter text.
Click here to enter text.
2. CURRENT EMPLOYMENT
Please tick
☐ Appointed RE/RTO on site
☐ Public Agencies
☐ C&S Consultancy
☐ Developer
☐ Builder
☐ Others (Please specify) Click
here to enter text.
Name of Current Employer:
Click here to enter text.
-2Updated 20 May 2016
3. DECLARATION
I am not being investigated and have not been charged or convicted of criminal offence under
Singapore Law.
*Please provide details
Click here to enter text.
☐ Yes
☐ No*
I have not been found guilty of fraudulent or grossly improper conduct in the discharge of any
professional duty in Singapore
☐ Yes
☐ No*
*Please provide details
Click here to enter text.
I declare that I did not have any project in the past 12 months.
(Applicable for REs and RTOs who could not submit APPENDIX IV due to no project)
☐ Yes
☐
No
I declare that the particulars (and all the documents ) and any subsequent document(s) and information
provided in support of this application are true, correct and complete to the best of my knowledge and belief, and
I have not wilfully suppressed any material facts.
4. SIGNATURE
Name of Applicant:
Date:
Signature:
FOR OFFICE USE ONLY
Processing Officer:
Date:
Signature:
Disclaimer: The accreditation of an individual should not be taken as any endorsement or acceptance of the
individual’s performance and IES, ACES, TUCSS and the IES/ACES Civil & Structural Resident Engineer and Resident Technical
Officer Accreditation Committee and Advisory Committee expressly disclaim any liability arising out of or in connection with
reliance or otherwise on the accreditation of any individual.
-3Updated 20 May 2016
APPENDIX I
ACADEMIC QUALIFICATION
Degree / Diploma/ Others
Name of University / College/Institute/Polytechnic
Country
Year of graduation
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
MEMBERSHIP OF PROFESSIONAL BODIES, IF ANY.
Name of Professional Body
Country
Grade of Membership
(Including designator letters)
Membership obtained by Examination / Year of Election
Exemption / Honorary Award
Click here to enter text.
Click here to Click here to enter text.
enter text.
Click here to enter text.
Click here to
enter text.
Click here to enter text.
Click here to Click here to enter text.
enter text.
Click here to enter text.
Click here to
enter text.
Click here to enter text.
Click here to Click here to enter text.
enter text.
Click here to enter text.
Click here to
enter text.
Click here to enter text.
Click here to Click here to enter text.
enter text.
Click here to enter text.
Click here to
enter text.
Click here to enter text.
Click here to Click here to enter text.
enter text.
Click here to enter text.
Click here to
enter text.
Click here to enter text.
Click here to Click here to enter text.
enter text.
Click here to enter text.
Click here to
enter text.
4
Updated 20 May 2016
APPENDIX II
DETAILS OF PAST EMPLOYMENT / PRACTICAL EXPERIENCE (Max 10 Projects in the past 12 months)
Name of Project
Date
Name of Firm
Position held and Degree of Responsibility (to
include some indication on the magnitude and
complexity of work)
(Starting from recent)
From
Click here to enter text.
Click here
enter text.
to Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here
enter text.
to Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here
enter text.
to Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here
enter text.
to Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here
enter text.
to Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here
enter text.
to Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here
enter text.
to Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here
enter text.
to Click here to enter text.
Click here to enter text.
To
5
Updated 20 May 2016
APPENDIX III
IES/ ACES (C&S) Resident Engineer &
Resident Technical Officer Accreditation
STU (Supervision Training Unit) Record
For RE/RTO Certification renewal for calendar year 2016 onward, RE and RTO are required to attain the minimum *8 STU (Supervision Training
Units) and within the past 12 months (calendar year 2015), comprising of 6 STU (Structural) for supervision in structural works training and 2 STU
(Safety) for Safety Training.
*Certificate of attendance of STU attainment or Proof of attendance are required. This is compulsory, please attach with renewal Application
*Refer to Page 6 for requirements
Name: Click here to enter text.
Year of Renewal: ☐ 2017
☐ 2016
STU
Name of Training Provider
(Structural)
RE/ RTO Reg. No: Click here to enter text.
S/N
Name/Title of Training
Date of Training
1
Click here to enter text.
2
Click here to enter text.
3
Click here to enter text.
4
Click here to enter text.
5
Click here to enter text.
6
Click here to enter text.
Click here
enter a date.
Click here
enter a date.
Click here
enter a date.
Click here
enter a date.
Click here
enter a date.
Click here
enter a date.
to Click here to enter text.
to Click here to enter text.
to Click here to enter text.
to Click here to enter text.
to Click here to enter text.
to Click here to enter text.
Max. cap at 12 STU (structural) and 4 STU (safety) within the past 12
months
Total:
RE/RTO is advised to keep a copy of this Record for reference For renewal 2017
and for next renewal. If you have not completed your STU
required, please submit a letter of undertaking to complete and STU bring forward to next year
for submission/records before your immediate next renewal. If
Click here
enter text.
Click here
enter text.
Click here
enter text.
Click here
enter text.
Click here
enter text.
Click here
enter text.
Click here
enter text.
Click here
enter text.
Click here
enter text.
STU
(Safety)
to Click here
enter text.
to Click here
enter text.
to Click here
enter text.
to Click here
enter text.
to Click here
enter text.
to Click here
enter text.
to Click here
enter text.
to Click here
enter text.
to Click here
enter text.
to
to
to
to
to
to
to
to
to
6
Updated 20 May 2016
APPENDIX III
we do not receive, your certificate would be suspended.
STU shortfall to complete
Click here
enter text.
to Click here to
enter text.
7
Updated 20 May 2016
APPENDIX IV
Performance Assessment Report for RE & RTO (C&S)
RE/RTO Name
NRIC/Passport/I.D.
no.
Registration no.
Project Title
Project Reference no.
Period of Assessment
From
To (dd/mm/yyyy)
(dd/mm/yyyy)
* Multiple forms are required if the RE/RTO had supervised more than 1 project during the ONE year period before
each renewal
Qualified Person’s (Supervision) Assessment:
Quality/Characteristic
1
2
3
Rating
(1 - 10)
Scope of assessment
Possess adequate knowledge and experience to carry out supervision of
Technical competency
structural works at site to ensure construction works are in accordance
& experience
with the approved structural plans.
Resourcefulness &
responsiveness
Vigilance in
inspection
Able to resolve various site technical issues and demonstrate ability to
response to QP’s instruction to resolve the issues.
Inform QP promptly if construction irregularities are detected on site.
4
Monitoring &
instrumentation
5
Diligence in
documentation
Regularly check the instrumentation monitoring readings, and able to
observe tell-tale sign of construction impact onto adjacent building
properties.
Keep and update all site records and plans in an orderly manner, and able
to produce required records and plans promptly for site inspection.
6
Work attitude &
attendance
Demonstrate positive working attitude, maintain regular attendance, and
arrive punctually to work.
7
Minimise abortive
work
Able to work with the builder and his sub-contractors in carrying out
inspections promptly at different stages of construction to minimise major
shortcomings at final inspection.
8
Adhere to site
inspection schedule
Adhere to the site inspection schedule prepared by the builder to avoid
disruption to the overall progress of the construction works at site.
9
Safety awareness
Inform QP promptly if any associated work (e.g. ERSS or falsework) are
carried out in an unsafe manner.
10 Communication
Able to communicate effectively with QP and project parties.
Overall
(100)
Rating
☐
Please tick for QP who wishes to submit the assessment report CONFIDENTIALLY to JAC by email to
[email protected] or mailing the complete endorsed report to:
Joint Accreditation Committee (C&S)
C/o The Institution of Engineers, Singapore
70 Bukit Tinggi Road, Singapore 289758
Any other remarks
Overall Rating Scale
< 50
Poor
50 - 59
Satisfactory
Qualified Person for Structural Works’
Stamp & Signature
60 - 79
Good
80 - 89
Very Good
90 - 100
Excellent
Date
8
Updated 20 May 2016