QMS-BRS, TWG Form No.

18
2nd Revision
Department of Public Works and Highways
ACCREDITATION OF CONTRACTORS’/CONSULTANTS’
MATERIALS ENGINEERS
APPLICATION FORM FOR WRITTEN EXAMINATION
_____________________
Date of Examination

APPLICATION NUMBER -

2" x 2" Photo

NOTE: The examination is exclusive only to Civil Engineers employed by
with nametag
private companies. Government, GOCC and Job Order Engineers
are not allowed to take the examination.

Name :
(Last) (First) (Middle)

PRC License Number : Valid Until

:
Home Address
:
Office Name :

Office Address :
Position : Home Tel. No.
Office Tel. No. : Mobile No. TIN
Nationality : Sex Civil Status Birthday

Education
(Limit to Tertiary Level Up)
Degree School Year Graduated

Preferred Venue of Examination

Manila Cebu City Davao City

I certify to the correctness of the foregoing.

Checked by: Signature (Sign inside the box)

_____________________ ____________________________
Position Date
(DPWH-QAHD Personnel)
 INSTRUCTIONS

1. Fill-out (type or print) all the applicable spaces of the Application Form
legibly

2. Attach to this Application Form the following requirements:

a. Xeroxed copy of valid Professional Regulation Commission

(PRC) Identification Card as Civil Engineer (not expired and with
signature)
b. Two 2" x 2" recent photographs with nametag (one to be pasted
in the Application Form and the other is for Notice of Examination
Schedule)
c. One 1" x 1" photograph with nametag for Identification Card.

3. Submit the Application Form and the requirements to:

The Chief
Quality Assurance and Hydrology Division
Any Regional Office of the Department of Public Works and Highways

4. Application forms must be submitted to the Bureau of Research and

Standards (BRS) by the Regional Offices at least one (1) month before
the scheduled accreditation examination.

5. Applicants shall obtain the Notice of Examination Schedule from the

DPWH Office where the application was filed within, one (1) week
before the scheduled examination. The notice shall confirm the date,
time and place of examination. This notice must be presented to the
DPWH examination proctor during the examination.

EXAMINATION COVERAGE

Construction materials specifications, sampling and testing procedures, test results

calculations/interpretation/evaluation, DPWH minimum testing requirements,
materials quality control terminologies/practices, duties and responsibilities of
materials engineers, and quality control implementation/documentation.