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PEPERIKSAAN PENILAIAN PROFESIONAL

A. Kelayakan untuk menduduki Peperiksaan Penilaian Profesional:

(i) Berdaftar sebagai Jurutera Siswazah dengan Lembaga Jurutera Malaysia tidak kurang 3
tahun.

(ii) Memperolehi pengalaman praktikal sebagaimana yang dikehendaki di bawah Peraturan


22, Peraturan Pendaftaran Jurutera 1990.

(iii) a) Jurutera Siswazah dalam kejuruteraan CIVIL dimestikan mempunyai


pengalaman dalam design/office tidak kurang dari 12 bulan.

b) Jurutera Siswazah dalam kejuruteraan CIVIL dimestikan mempunyai


pengalaman dalam site/field tidak kurang dari 12 bulan.

B. Borang G yang telah lengkap diisi hendaklah disertakan bersama dengan:

Dokumen yang perlu dikemukakan Senarai untuk


semakan

1. Keterangan pengalaman praktikal (menggunakan LAMPIRAN G1


yang disediakan).

2. Akuan di LAMPIRAN G2.

3. Salinan surat pendaftaran sebagai Jurutera Siswazah.

4. Salinan ijazah kejuruteraan.

5. Cek/bank draft/kiriman wang/wang pos berjumlah RM200.00 atas


nama Lembaga Jurutera Malaysia.

C. (i) Permohonan yang diterima akan diproses dan calon yang layak menduduki
peperiksaan ini akan dihubungi oleh Pemeriksa Utama yang telah dilantik oleh
Lembaga.

(ii) Calon hendaklah berhubung terus dengan Pemeriksa Utama sehingga


peperiksaan tersebut selesai. Pemeriksa Utama akan mengemukakan laporannya
kepada Lembaga untuk penilaian.

(iii) Calon akan diberitahu keputusannya setelah disahkan dalam mesyuarat Lembaga
Jurutera Malaysia.
NOTA: SILA RUJUK GUIDELINES ON PROFESSIONAL ASSESSMENT EXAMINATION 1990 UNTUK KETERANGAN DAN
PANDUAN .

*************************************

BEM/CL/PAE/01

Rev. No. : 0
Date : 15.7.2003
FORM G

REGISTRATION OF ENGINEERS ACT 1967


REGISTRATION OF ENGINEERS REGULATIONS 1990
(Regulation 37)

APPLICATION FOR A GRADUATE ENGINEER TO SIT FOR THE


PROFESSIONAL ASSESSMENT EXAMINATION
(To be completed by Applicant in BLOCK LETTERS)

Name: ..

Address: ..

..

Tel. No: .. Fax No.:

E-mail: ..

Identity Card No.: Date of Birth:

Graduate Engineer Registration No.: ..

Date of Registration as Graduate Engineer: ....

Branch of Engineering:

Academic Qualifications: .

have had .. years of practical experience in engineering and have complied with
section 10(1)(b) of the Registration of Engineers Act 1967.

I enclose herewith *money order/bank draft/cheque No. for the amount of RM200.00,
being the examination fee.

Date of previous sitting .


(Write NIL if not applicable)

Date: .
(Signature)
PENALTY
Section 24(a) of the Registration of Engineers Act 1967: "Any person, sole proprietorship, partnership or body corporate who
procures or attempts to procure registration or a certificate of registration under this Act by knowingly making or producing or
causing to be made or produced any false or fraudulent declaration, certificate, application or representation whether in writing or
otherwise, shall be guilty of an offence and shall, on conviction, be liable to a fine not exceeding ten thousand ringgit in the case
of an individual, or fifty thousand ringgit in the case of a sole proprietorship, partnership or body corporate, or to imprisonment for
a term not exceeding three years, or to both.".

*delete whichever is not applicable


Rev. No. : 0
Date : 15.7.2003
LAMPIRAN G1

BOARD OF ENGINEERS MALAYSIA

Name:

Identity Card No.

PROFESSIONAL EXPERIENCE

A B C Experience area E
(in months)
STATEMENT OF TRAINING &
EXPERIENCE
(SINCE REGISTRATION AS GRADUATE
ENGINEER)
D1 D2 D3 D4 D5

Signatures of any Professional


Name, Position and Address

Engineers who has personal

training or experience in the


Date State concisely Title of Position held, Name of Professional Engineer

knowledge of Applicants
(mth & year) of Employer, Location and Description of under whom served

Other Engineering works

study/ research/teaching

period mentioned
relating to each work (Make statement brief and

Masters/Post graduate /
Planning/Management
each concise, designating each work upon which
appointment engaged with or change of position
Example: separately: include some indication of
July 90 to magnitude and complexity of work in which Design/Office
May 95 engaged, your duties and degree of

Site/field
responsibility) If necessary additional sheets
may be attached.
Total

Signature
Signautre

Total
Month
Rev. No. : 0
Date : 15.7.2003
LAMPIRAN G2

AKUAN PEMOHON
PEPERIKSAAN PENILAIAN PROFESIONAL

Saya mengaku bahawa saya:


YA TIDAK
Tidak pernah menduduki Peperiksaan Penilaian Profesional **
di Lembaga Jurutera Malaysia.

Pernah gagal Peperiksaan Penilaian Profesional di


Lembaga Jurutera Malaysia pada*.........................................

Telah memohon/menduduki Temuduga Profesional di


Institusi Jurutera Malaysia (IEM) pada *...

Pernah gagal Temuduga Profesional di Institusi Jurutera


Malaysia (IEM) pada*

Lain-lain kenyataan:

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Yang benar,

_____________________________

Nama penuh :
No. kad pengenalan :
No. pendaftaran Jurutera Siswazah :

PERHATIAN : ** Sila tandakan ( ) di kotak yang berkenaan.

* Sila nyatakan tarikh.