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Pakistan Engineering

Council

Form PEC-5A
Applicable for Registered
Engineers

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

Tick which is
applicable
A

Issuance of Renewal Card


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

B
C

Change of Address

Any Other Change, please


specify

Issuance of Duplicate Registration Certificate/Duplicate Renewal Card.


For Duplicate Registration Certificate, news paper cutting, and affidavit along with Rs.100/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/-)

___________________________________________

( attach relevant documents)

PEC Reg. No.____________________________

Discipline:
______________________________

Name of Engineer:

________________________________________________________________

Present Postal
Address:

________________________________________________________________

CNIC No:

__

Paste
Photograph
Here

__

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

(for last three years supported by attested copies of experience certificates)

Status (Govt/SemiGovt
/Autonomous/Privat
e

Name of Organization/Company

Designation

From ________To
_______

1
2
3

CPD ACTIVITIES AND CREDIT POINTS, SUPPORTED BY DOCUMENTRY EVIDENCE

Min: 5 Credit

Points /year

(Brochure attached for guidelines)

S
#
1
2
3
4

Applicable CPD Program

Professional
Engineering Body

Credit
Hours
Claim
ed

Credit Points
Claimed
Year
Year- Year-1
2
3

Remarks

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)
Total

Dated:__________________
_

Engineers signature
(Essential and must be within the box)

FOR OFFICE USE ONLY

Verified by CPD Department

Approved by Registration Department

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Accounts Department
Received Rs._______________

Date: _______________________
Mode
:-

Receipt No._________________

Cas
h

Chq

DD

Chq/DD No.____________________________

Signature of Accounts Clerk

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