INFORMASI PENGISIAN APLIKASI

ASEAN CHARTERED PROFESSIONAL ENGINEER

INDONESIA MONITORING COMMITTEE

2012

Dapat diunduh dari situs IMC, http://imc.or.id/

SYARAT ASEAN CHARTERED PROFESSIONAL ENGINEER (ACPE)

Tamatan dari pendidikan tinggi teknik yang program studinya telah terakreditasi oleh
lembaga kewenangan di negaranya;

Memiliki Sertifikat Keahlian (SKA) dan terdaftar di negaranya sebagai Tenaga Ahli
yang berhak untuk berpraktek independen;

Pengalaman kerja minimum 7 tahun setelah tamat pendidikan tinggi S-1;

Berpengalaman sedikitnya selama 2 tahun mengelola pekerjaan keinsinyuran yang

berbobot (in responsible charge of significant engineering works);

Memenuhi persyaratan program pemutakhiran keprofesiannya (Continuing

Professional Development, CPD) pada tingkat yang memadai untuk perpanjangan
masa berlaku sertifikat; dan

Setuju untuk terikat/mematuhi kode tata laku dan kode etik profesional.

SYARAT PENDAFTARAN ASEAN CHARTERED PROFESSIONAL ENGINEER

(silakan digunakan sebagai check list)

1. Form APP 01 (surat aplikasi) asli & ditandatangani;

2. Form APP 02 (portofolio, min. 2 tahun) asli & ditandatangani;
3. Form APP 03 (pernyataan) asli & ditandatangani;
4. Fotokopi ijazah S-1 dan pendidikan tinggi selanjutnya bila ada;
5. Fotokopi Sertifikat Keahlian (SKA) yang masih berlaku;
6. Berkas pengalaman kerja (CV) dalam bahasa Inggris asli dan terbaru;
7. Fotokopi KTP;
8. Pasfoto 1 buah, 4 x 6 cm.

KHUSUS APP 02
Untuk memudahkan penilaian, Anda diminta untuk melengkapi form APP 02 dengan
diagram struktur organisasi (accountability diagram) pada kertas ukuran A4.
Diagram tersebut harus menggambarkan hal berikut:

Posisi Anda (ditandai dengan anak panah);

Dua atau tiga tingkat di atas posisi Anda;

Semua tingkatan di bawah posisi Anda;

Cantumkan pula rekan kerja Anda yang mempunyai SKA berikut kualifikasinya.

Diagram tidak berwarna agar tetap jelas apabila difotokopi / dipindai.

[nama proyek]
[periode kerja]

[nama perusahaan]

Sosok Za
Division Manager

Sosok Ax
Deputy Division Manager

ANDA
Project Manager
Sosok L
Safety Officer

Sosok Ws
Construction Manager

Sosok Tp
M/E Manager

Sosok Ps
Quality Control

Sosok Lm
Logistic Manager

Sosok Gh
Technical Manager

Contoh diagram struktur organisasi

CATATAN:

Berkas aplikasi dapat diisi dengan program pengolah kata dengan ukuran font
minimum 12 atau ditulis tangan (huruf cetak);

Berkas aplikasi tidak perlu dijilid ataupun diapit (staple) karena aplikasi Anda akan
perlu difotokopi / dipindai, silakan gunakan binder clips / clear sleeves / business file.

* Berkas aplikasi dan kelengkapannya dapat dikirimkan softcopy-nya terlebih dulu

Terima
kasih. e-mail: secretariat@imc.or.id dengan subject/hal Aplikasi ACPE.
ke alamat
Terima kasih.

INFORMASI PENGISIAN APLIKASI ACPE, APP 01

APP 01

APPLICATION FOR A PROFESSIONAL ENGINEER TO BE REGISTERED

AS ASEAN CHARTERED PROFESSIONAL ENGINEER (ACPE)
(To be completed by Applicant in BLOCK LETTERS)

Nama lengkap
:
Nama yang akan dicantumkam pada sertifikat ACPE
Name to be put in certificate:
Alamat lengkap sesuai KTP dilengkapi dengan kode pos
Address
:
Name

telepon genggam / rumah
Tel. No.:

pribadi &/ kantor

Fax No.:

Wajib diisi dengan jelas

E-mail:
Identity Card No.: Date of Birth:
data
pendidikan
saja,
First Degree / University:

Strata
1
pendidikan lebih lanjut cukup
dilampirkan
fotokopi
ijazahnya
Discipline of Engineering:

Graduate Engineer Registration No.:
Date of Registrations:
Nomor Registrasi SKA (nomor yang berada di dalam
kotak,
cukup
salah satu
saja)
Professional Engineer Registration No.:

Tanggal penetapan SKA

Date of Registrations:
Klasifikasi dan Kualifikasi sesuai SKA dalam Bahasa Indonesia
Branch of Engineering:

(salah
satu saja,
lainnya
cukup
dilampirkan
fotokopinya saja)
Discipline for ACPE Registration (select 1 discipline only):

Mechanical
Aeronautical
Petroleum

Electrical

Chemical

Mining

Geotechnical

Water Resources

Marine Tech

Industrial

Physic

Transportation

Environmental

Geodetic

Civil
Structural

I enclose herewith * money order / bank draft / cheque no. : for the
amount of Rp. being the fee.
NIL (untuk pendaftaran perdana)
Date of previous application:
(Write NIL if not applicable)

Date:

Tanggal
pengisian
aplikasi
(. . . .)
*delete whichever is not applicable

rev 02

(signature)

APP 02

PORTOFOLIO FOR THE APPLICATION AS ASEAN CHARTERED PROFESSIONAL ENGINEER

Name:
PROFESSIONAL EXPERIENCE IN RESPONSIBLE CHARGE OF SIGNIFICANT ENGINEERING WORK
E
D5
Masters / post
graduates / study
/ research /
teaching

Other
engineering
works

(if necessary additional sheets may be attached)

Planning /
management

State concisely title of position held, name of employer,

location and description of each work (make statement
brief and concise, designating each work upon which
engaged with or change of position separately: include
some indication of magnitude and complexity of work in
which engaged, your duties and degree of responsibility)

EXPERIENCE AREA (in months)

D1
D2
D3
D4

Site / field

C
Name,
position and
address of
professional
engineer
under whom
served &
contact no.

Design / office

Example: April
87 to January
97

Total

A
Date (month
& year)
relating to
each
appointment

Signature of any
professional engineers
who has personal
knowledge of applicants
training or experience in
the period mentioned

Kolom D1 D5
Diisi dengan jumlah bulan keterlibatan
Anda dalam bagian pekerjaan proyek.

Kolom A
Diisi bulan dan tahun dari
awal pekerjaan hingga
akhir/selesainya proyek.
Kolom B
Uraikan selengkap mungkin informasi mengenai
pekerjaan, nama proyek, lokasi, nilai proyek, lingkup
dan kompleksitas pekerjaan, serta besarnya
tanggung jawab Anda dalam proyek tersebut.

Kolom C
Uraian kepada siapa Anda bertanggung
jawab, disertai informasi jabatan &
nomor telepon yang bersangkutan.
Lampirkan struktur organisasi proyek.

Kolom E
Diisi dengan tanda tangan
dan nama rekan kerja
(insinyur profesional) yang
dapat memberikan informasi
mengenai keterlibatan Anda
dalam proyek tersebut.

Total
Months
rev 02b

Jumlah total harus lebih dari 24 bulan.

APP-02, Page of

D. Example IV
DETAILED DESCRIPTION OF TWO YEARS EXPERIENCES
RESPONSIBLE CHARGE OF SIGNICANT ENGINEERING WORK

IN

Concerning "Experiences in the execution of engineering work under

complicated conditions, or engineering work requiring new concepts, or
engineering work involving a plurality of different disciplines", the contents
of more realistically presumed experiences are described below.
1. Experiences as chief or higher-position engineer (not in assisting
engineer position) in charge of engineering work executed under
complicated conditions.
Complicated conditions
The site is topologically complicated.
Other structures are located close to the planned structures.
There are strict safety and environmental requirements.
The construction schedule is tight.
There are many authorities concerned among which
coordination is required.
Public relations are difficult.
2. Experiences as chief or higher position engineer (engineer not in
assisting position) in charge of engineering work requiring new
concepts.
New concept
New technologies
New working methods
New solutions
New techniques
3. Experiences as chief or higher-position engineer (engineer not in
assisting position) in charge of engineering work involving a
plurality of different disciplines.
Engineering work requiring expertise covering various
disciplines;
Engineering work in which a plurality of different disciplines is
involved or engineering work requiring coordination among
the engineers of different disciplines.
4. Experiences in engineering work equivalent to 1 through 3 above.

Appendix D-IV ASEAN Mutual Recognition Arrangement on Engineering Services

APP 03

DECLARATION FOR THE APPLICATION AS ASEAN CHARTERED

PROFESSIONAL ENGINEER
Total pengalaman kerja (tahun)
setelah kelulusan S1

I hereby declare that:

I have had

years of practical experience in engineering.

YES

NO

I am a Professional Engineer

I meet the entire requirement as stated in Article 3 of the

ASEAN Mutual Recognition Arrangement (MRA)

No disciplinary action have been taken against me

I am not a bankrupt

Others:

Silakan cantumkan antara lain keanggotaan / jabatan Anda dalam

organisasi profesi lainnya, dari dalam negeri ataupun luar negeri.

Yours Sincerely,

(signature)

Name:
PE Reg. No.: Nomor registrasi SKA
Date:

Tanggal pengisian aplikasi

Note: Please tick () in the relevant box.

rev 02a

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