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Council
Form PEC-5A
Applicable for Registered
Engineers
Tick which is
applicable
A
B
C
Change of Address
___________________________________________
Discipline:
______________________________
Paste
Name of Engineer:
Photograph________________________________________________________________
Present Postal Here
Address:
________________________________________________________________
CNIC No:
__
__
Tel:
Off#________________Res#_________________Cell#______________________Email:___________________________
EMPLOYMENT STATUS
S
#
Status (Govt/SemiGovt
/Autonomous/Privat
e
Name of Organization/Company
Designation
From ________To
_______
1
2
3
Min: 5 Credit
Points /year
S
#
1
2
3
4
Professional
Engineering Body
Credit
Hours
Claim
ed
Credit Points
Claimed
Year
Year- Year-1
2
3
Remarks
Dated:__________________
_
Engineers signature
(Essential and must be within the box)
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Accounts Department
Received Rs._______________
Date: _______________________
Mode
:-
Receipt No._________________
Cas
h
Chq
DD
Chq/DD No.____________________________