The document is an application form for the accreditation examination of contractors' and consultants' materials engineers by the Department of Public Works and Highways. It requests information such as name, contact details, PRC license number, education background, and preferred examination venue. Instructions are provided on submitting the application form along with requirements like ID card copies and photographs at least one month before the scheduled exam. The notice of examination will be issued one week before confirming exam details. The exam will cover construction materials specifications, testing procedures, quality control practices and responsibilities of materials engineers.

1. Department of Public Works and Highways
ACCREDITATION OF CONTRACTORS’/CONSULTANTS’
MATERIALS ENGINEERS
APPLICATION FORM FOR WRITTEN EXAM
_____________________
Date of Examination
Application Number -
New Applicant (not yet accredited)
2" x 2" Photo
Name
(Last) (First) (Middle)
PRC License Number : Valid Until
Home Address
:
Office Name :
Office Address :
TIN Number : Position
Home Tel. No. Mobile No. Office Tel. No.
Nationality : Birthday Sex Civil Status
Education
(Limit to Tertiary Level Up)
Degree School Year Graduated
I certify to the correctness of the foregoing.
___________________________________
Signature over printed name
____________________________
Date
Preferred Venue of Examination
Manila Cebu City Davao City
QMS-BRS, TWG Form No. 18

2. INSTRUCTIONS
1. Fill-out (type or print) all the applicable spaces of the Application Form
legibly
2. Attach to this Application Form the following requirements:
a. Xeroxed copy of valid Professional Regulation Commission
(PRC) Identification Card as Civil Engineer (not expired and with
signature)
b. Two 2" x 2" recent photographs (one to be pasted in the
Application Form and the other is for Notice of Examination
Schedule)
c. One 1" x 1" photograph
3. Submit the Application Form and the requirements to:
The Chief
Quality Assurance and Hydrology Division
Any Regional Office of the Department of Public Works and Highways
4. Application forms must be submitted to the Bureau of Research and
Standards (BRS) by the Regional Offices at least one (1) month before
the scheduled accreditation examination.
5. Applicants shall obtain the Notice of Examination Schedule from the
DPWH Office where the application was filed within, one (1) week
before the scheduled examination. The notice shall confirm the date,
time and place of examination. This notice must be presented to the
DPWH examination proctor during the examination.
EXAMINATION COVERAGE
Construction materials specifications, sampling and testing procedures, test results
calculations/interpretation/evaluation, DPWH minimum testing requirements,
materials quality control terminologies/practices, duties and responsibilities of
materials engineers, and quality control implementation/documentation.