Pakistan Engineering Council

Ataturk Avenue (East) G-5/2, P.O.Box No.1296, Islamabad.

Form PEC-5A
Applicable for Registered Engineers

Tick which is applicable

A

Issuance of Renewal Card

Attach one photograph (25x25mm) with white background, attested copy of CNIC and previous renewal card

Change of Address

B C

Issuance of Duplicate Registration Certificate/Duplicate Renewal Card.

For Duplicate Registration Certificate, news paper cutting, and affidavit along with Rs.1,000/- as fee

Endorsement of Higher Degree/Diploma on Registration Certificate

(attach attested copy of Higher Degree/Diploma and Transcript/Abstract of Thesis along with original, PEC original Certificate and payment of fee @ Rs.2,000/-)

Any Other Change, please specify

___________________________________________

( attach relevant documents)

PEC Reg. No.____________________________ Name of Engineer: Present Postal Address:

Discipline: ______________________________

________________________________________________________________ ________________________________________________________________
__ __

Paste Photograph Here

CNIC No:

Tel: Off#________________Res#_________________Cell#______________________Email:___________________________ EMPLOYMENT STATUS

S # 1 2 3
(for last three years supported by attested copies of experience certificates)

Name of Organization/Company

Status (Govt/SemiGovt /Autonomous/Privat e

Designation

From ________To _______

CPD ACTIVITIES AND CREDIT POINTS, SUPPORTED BY DOCUMENTRY EVIDENCE

Min: 5 Credit Poi

Remarks

/year
(Brochure attached for guidelines)

S # 1 2 3 4

Applicable CPD Program Formal Education (Higher Education duly recognized by PEC/HEC) Work Based Learning (Work Experience related work including Management) Development Activities (Conferences, Seminars, Workshops Lectures, memberships etc) Individual Activities (Symposium Panelist, Authoring of Book, recognized social work etc)

Professional Engineering Body

Credit Hours Claim ed

Credit Points Claimed Year Year- Year-1 2 3

Total

Dated:__________________ _ FOR OFFICE USE ONLY

Engineers signature
(Essential and must be within the box)

Verified by CPD Department

Approved by Registration Department

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Accounts Department
Received Rs._______________ Mode :Receipt No._________________ Cas h Chq DD Date: _______________________

Chq/DD No.____________________________

Signature of Accounts Clerk