19. The Second Schedule to the principal Rules is deleted and the following Schedule substituted therefor: | | APPLICATION FOR REMOVAL FROM REGISTER OF PROFESSIONAL ENGINEERS UNDER SECTION 17B(5) OF THE ACT |
| To: | The Registrar, Professional Engineers Board, Singapore |
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| I, ______________________________, apply under section 17B(5) of the Professional Engineers Act to have my name removed from the Register of Professional Engineers. My affidavit for this application is attached. |
| 2. There is no disciplinary action pending against me nor is my conduct the subject of inquiry or investigation by any Investigation Committee. |
| 3. I return the following certificates for cancellation: |
| (a) | Certificate of Registration No. _____________________; and |
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| (b) | Practising Certificate No. (if any). |
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| 4. I hereby declare that the statements made in this form are true and correct. |
| _________________________ Date |
| _________________________ Signature of Applicant |
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| | PROFESSIONAL ENGINEERS ACT (CHAPTER 253) |
| | | SPECIALIST PROFESSIONAL ENGINEER |
| | Professional Engineer Registration No.____ having duly made application and satisfied the requirements of the Professional Engineers Act, is hereby authorised to engage in professional engineering work in Singapore within the specialised branch of engineering of |
| (specialised branch of engineering) |
| during the year ending 31st December (year) |
| | | | Practising Certificate No.: |
| | | Practising Certificate Fee Received: |
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| | PROFESSIONAL ENGINEERS ACT (CHAPTER 253) |
| | | Professional Engineer Registration No. ____ having duly made application and satisfied the requirements of the Professional Engineers Act, is hereby authorised to engage in professional engineering work in Singapore within the branch of engineering of |
| | during the year ending 31st December (year) |
| | | | Practising Certificate No.: |
| | | Practising Certificate Fee Received: |
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| | | | APPLICATION NO:PEB/APPL/ - ( ) |
| | | PROFESSIONAL ENGINEERS ACT (CHAPTER 253) |
| | To: | The Registrar Professional Engineers Board Singapore |
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| Name of *corporation/partnership: _______________________________ |
| Principal place of business: _____________________________________ |
| Other places of business: _______________________________________ |
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| (To be deleted if the Applicant is a Partnership) |
| | Name: _______________________ |
| Name: _______________________ |
| Address: _____________________ |
| Address: _____________________ |
| Occupation: __________________ |
| Occupation: __________________ |
| ** Certificate of Registration No.: |
| | ** Certificate of Registration No.: |
| | Name: _______________________ |
| Name: _______________________ |
| Address: _____________________ |
| Address: _____________________ |
| Occupation: __________________ |
| Occupation: __________________ |
| ** Certificate of Registration No.: |
| | ** Certificate of Registration No.: |
| |
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2 Share Capital and Shares Ordinary Preference Others |
| Authorised share capital: _____________________________________ |
| Issued share capital: _________________________________________ |
| Paid-up share capital: ________________________________________ |
| Nominal value per share: _____________________________________ |
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3. List of Shareholders/Members |
| Name: _______________________ |
| Name: _______________________ |
| Address: _____________________ |
| Address: _____________________ |
| Occupation: __________________ |
| Occupation: __________________ |
| ** Certificate of Registration No. (if any): |
| | ** Certificate of Registration No. (if any): |
| | Number and class of shares owned: |
| | Number and class of shares owned: |
| | Name: _______________________ |
| Name: _______________________ |
| Address: _____________________ |
| Address: _____________________ |
| Occupation: __________________ |
| Occupation: __________________ |
| ** Certificate of Registration No.: |
| | ** Certificate of Registration No.: |
| | Number and class of shares owned: |
| | Number and class of shares owned: |
| |
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4. List of Services Proposed to be Offered by Applicant |
| ___________________________________________________________ |
| ___________________________________________________________ |
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5. Information about Employees |
| (I) | No. of registered professional engineers employed: ________________ |
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| (II) | No. of other professionals employed#: __________________________ |
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| (III) | No. of sub-professional staff: ______________________________ |
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| (IV) | No. of clerical staff: _____________________________________ |
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| (V) | Others: _______________________________________________ |
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| # | Includes e.g. architects, surveyors, quantity surveyors, non-registered engineers, etc., not included in 5(I) |
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6. Particulars of Supervising Director |
| Name: ________________________________________________________ |
| Practising Certificate No.: ________________________________________ |
| Branch of engineering authorised to practise in: _______________________ |
| Residential address: _____________________________________________ |
| Number and class of shares owned: _________________________________ |
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7. Particulars of Insurance |
| Name of insurance company: ______________________________________ |
| Address: ______________________________________________________ |
| Limitation of indemnity: _________________________________________ |
| Scope of indemnity: _____________________________________________ |
| Term of policy: _________________________________________________ |
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8. Registered Address of Corporation |
| ______________________________________________________________ |
| ______________________________________________________________ |
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9. A fee of $ ____ is forwarded. |
| The following documents are attached to this application: |
| (a) | Memorandum and Articles of Association. |
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| (b) | Professional Liability Insurance Policy. |
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| (c) | Certificate of Incorporation. |
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| (d) | Resolution of board of directors/partners (where applicable). |
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| | ____________________________ Name, Date and Signature of Director |
| ____________________________ Name, Date and Signature of Director |
| | | ____________________________ Name, Date and Signature of Director |
| ____________________________ Name, Date and Signature of Director |
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| (To be deleted if the Applicant is a Corporation). |
| | Name: _______________________ |
| Name: _______________________ |
| Address: _____________________ |
| Address: _____________________ |
| Occupation: __________________ |
| Occupation: __________________ |
| ** Certificate of Registration No.: |
| | ** Certificate of Registration No.: |
| | ** Practising Certificate No.: |
| | ** Practising Certificate No.: |
| | Name: _______________________ |
| Name: _______________________ |
| Address: _____________________ |
| Address: _____________________ |
| Occupation: __________________ |
| Occupation: __________________ |
| ** Certificate of Registration No.: |
| | ** Certificate of Registration No.: |
| | ** Practising Certificate No.: |
| | ** Practising Certificate No.: |
| |
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2. Particulars of Supervising Partner |
| Name: ________________________________________________________ |
| Practising Certificate No.: ________________________________________ |
| Branch of engineering authorised to practise in: _______________________ |
| Residential address: _____________________________________________ |
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3. General Nature of Business |
| _____________________________________________________________ |
| _____________________________________________________________ |
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4. A fee of $_____ is forwarded. |
| The agreement establishing the partnership is attached to this application. |
| | ____________________________ Name, Date and Signature of Partner |
| ____________________________ Name, Date and Signature of Partner |
| | | ____________________________ Name, Date and Signature of Partner |
| ____________________________ Name, Date and Signature of Partner |
| * Delete where inapplicable. |
| ** | To specify whether certificate is issued under Architects Act, Professional Engineers Act or Land Surveyors Act. |
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STATUTORY DECLARATION OF COMPLIANCE WITH THE REQUIREMENTS OF THE PROFESSIONAL ENGINEERS ACT, ON APPLICATION FOR A LICENCE TO SUPPLY PROFESSIONAL ENGINEERING SERVICES |
| Name of *Corporation/Partnership: |
| I, __________________ of ________________________NRIC/Passport No. __________________ do solemnly and sincerely declare that I am a *director/partner of __________________ and that all the requirements of the Professional Engineers Act in respect of matters precedent to the grant of a licence to supply professional engineering services and incidental thereto have been complied with. |
| And I make this solemn declaration by virtue of the provisions of the Oaths and Declarations Act (Chapter 211), and subject to the penalties provided by that Act for the making of false statements in statutory declarations, conscientiously believing the statements contained in this declaration to be true in every particular. |
| DECLARED at _________________________________________________ |
| on the _______________ day of ________________________ 201 ________ |
| | | | Commissioner for Oaths/Notary Public |
| * Delete whichever is not applicable. |
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| | PROFESSIONAL ENGINEERS ACT (CHAPTER 253) |
| LICENCE TO SUPPLY PROFESSIONAL ENGINEERING SERVICES |
| | having its principal place of business at |
| | is issued a licence to supply professional engineering services in Singapore subject to the following conditions as stipulated in section 21 of the Professional Engineers Act. |
| (1) | The licensee shall supply professional engineering services in Singapore through a professional engineer — |
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| (a) | who shall be responsible for the professional engineering works; |
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| (b) | who has in force a practising certificate authorising him to engage in professional engineering work to which those services relates; and |
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| | (i) | in the case of a corporation, a director or an employee of the corporation; |
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| (ii) | in the case of a partnership, a partner or an employee of the partnership; or |
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| (iii) | in the case of a limited liability partnership, a partner or an employee of the limited liability partnership. |
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| (2) | The licensee, if it is a limited corporation or a limited liability partnership, shall not supply professional engineering services in Singapore unless the licensee is insured in respect of professional liability in accordance with the Professional Engineers Act and the rules made thereunder. |
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| This licence shall be valid from the date of issue as shown below and shall expire on |
| | | | | | | Registrar Professional Engineers Board Singapore |
| | ”. |
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