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.

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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.

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.

Terima kasih.

[nama perusahaan][nama proyek][periode kerja]

Sosok AxDeputy Division Manager

ANDAProject Manager

Sosok TpM/E Manager

Sosok ZaDivision Manager

Sosok PsQuality Control

Sosok WsConstruction Manager

Sosok LmLogistic Manager

Sosok LSafety Officer

Sosok GhTechnical Manager

IMC SecTypewriter* Berkas aplikasi dan kelengkapannya dapat dikirimkan softcopy-nya terlebih dulu ke alamat e-mail: secretariat@imc.or.id dengan subject/hal Aplikasi ACPE.

Terima kasih.

A P P 0 1

APPLICATION FOR A PROFESSIONAL ENGINEER TO BE REGISTERED AS ASEAN CHARTERED PROFESSIONAL ENGINEER (ACPE)

(To be completed by Applicant in BLOCK LETTERS) Name :

Name to be put in certificate:

Address :

Tel. No.: Fax No.:

E-mail:

Identity Card No.: Date of Birth: First Degree / University:

Discipline of Engineering:

Graduate Engineer Registration No.:

Date of Registrations: Professional Engineer Registration No.:

Date of Registrations:

Branch of Engineering: Discipline for ACPE Registration (select 1 discipline only): Mechanical Electrical Chemical Physic Aeronautical Marine Tech Industrial Environmental Petroleum Mining Geodetic Civil Structural Geotechnical Water Resources Transportation I enclose herewith * money order / bank draft / cheque no. : for the

amount of Rp. being the fee.

Date of previous application: (Write NIL if not applicable) Date:

(. . . .) *delete whichever is not applicable (signature)

rev 02

PC01Text BoxNama lengkap

PC01Text BoxNama yang akan dicantumkam pada sertifikat ACPE

PC01Text BoxAlamat lengkap sesuai KTP dilengkapi dengan kode pos

PC01Text BoxWajib diisi dengan jelas

PC01Text Boxdata pendidikan Strata 1 saja, pendidikan lebih lanjut cukup dilampirkan fotokopi ijazahnya

PC01Text BoxNomor Registrasi SKA (nomor yang berada di dalam kotak, cukup salah satu saja)

PC01Text BoxKlasifikasi dan Kualifikasi sesuai SKA dalam Bahasa Indonesia(salah satu saja, lainnya cukup dilampirkan fotokopinya saja)

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PC01Text BoxNIL (untuk pendaftaran perdana)

PC01Text BoxTanggal pengisian aplikasi

PC01Sign Here

PC01Text Boxtelepon genggam / rumah

PC01Text Boxpribadi &/ kantor

PiC01TypewriterINFORMASI PENGISIAN APLIKASI ACPE, APP 01

IMC SecText BoxTanggal penetapan SKA

A P P 0 2

rev 02b APP-02, Page of

PORTOFOLIO FOR THE APPLICATION AS ASEAN CHARTERED PROFESSIONAL ENGINEER Name:

PROFESSIONAL EXPERIENCE IN RESPONSIBLE CHARGE OF SIGNIFICANT ENGINEERING WORK A B C EXPERIENCE AREA (in months) E

D1 D2 D3 D4 D5 Date (month & year)

relating to each

appointment

Example: April 87 to January

97

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)

(if necessary additional sheets may be attached)

Name, position and address of

professional engineer

under whom served &

contact no.

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Signature of any professional engineers

who has personal knowledge of applicants training or experience in

the period mentioned

Total Months

IMC SecCalloutKolom ADiisi bulan dan tahun dari awal pekerjaan hingga akhir/selesainya proyek.

IMC SecCalloutKolom BUraikan selengkap mungkin informasi mengenai pekerjaan, nama proyek, lokasi, nilai proyek, lingkup dan kompleksitas pekerjaan, serta besarnya tanggung jawab Anda dalam proyek tersebut.

IMC SecCalloutKolom CUraian kepada siapa Anda bertanggung-jawab, disertai informasi jabatan & nomor telepon yang bersangkutan.Lampirkan struktur organisasi proyek.

IMC SecCalloutJumlah total harus lebih dari 24 bulan.

IMC SecText BoxKolom D1 - D5 Diisi dengan jumlah bulan keterlibatan Anda dalam bagian pekerjaan proyek.

IMC SecCalloutKolom EDiisi dengan tanda tangan dan nama rekan kerja (insinyur profesional) yang dapat memberikan informasi mengenai keterlibatan Anda dalam proyek tersebut.

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Appendix D-IV ASEAN Mutual Recognition Arrangement on Engineering Services

D. Example IV

DETAILED DESCRIPTION OF TWO YEARS EXPERIENCES IN RESPONSIBLE CHARGE OF SIGNICANT ENGINEERING WORK

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.

A P P 0 3

rev 02a Page 3 of 3

DECLARATION FOR THE APPLICATION AS ASEAN CHARTERED PROFESSIONAL ENGINEER

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:

Yours Sincerely,

(signature)

Name:

PE Reg. No.:

Date: Note: Please tick () in the relevant box.

PC01CalloutTotal pengalaman kerja (tahun) setelah kelulusan S1

PC01Accepted

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PC01Accepted

PC01Text BoxSilakan cantumkan antara lain keanggotaan / jabatan Anda dalam organisasi profesi lainnya, dari dalam negeri ataupun luar negeri.

PC01Sign Here

PC01Text BoxNomor registrasi SKA

PC01Text BoxTanggal pengisian aplikasi