ASEAN ENGINEER

APPLICATION FORM AND GUIDELINES FOR APPLICANTS

(All entries must be computer printed or typewritten)

FORM 1
APPLICANT’S CHECKLIST

APPLICANT’S LETTER OF INTENT ADDRESSED TO THE PTC PRESIDENT, THRU YOUR APO/EPO
OFFICIAL ENDORSEMENT BY THE PROFESSIONAL ORGANIZATION SIGNED BY THE PRESIDENT
CERTIFICATE OF GOOD STANDING FROM THE ACCREDITED NATIONAL APO/EPO
CERTIFICATE OF REGISTRATION / VALID PROFESSIONAL IDENTIFICATION CARD
COPY OF DIPLOMA (UNDERGRADUATE AND GRADUATE ENG’G) – CERTIFIED TRUE COPY
APEC/ASEAN WORKSHOP CERTIFICATE OF ATTENDANCE
CURRICULUM VITAE (EMPLOYMENT DETAILS) – see guidelines no. 5, Annex I
PERSONAL DETAILS (FORM 2)
SEVEN (7) YEARS PROFESSIONAL EXPERIENCE (FORM 3) – see guidelines, no. 1
TWO (2) YEARS PROFESSIONAL EXPERIENCE (FORM 4) – see guidelines, no. 1, 7 & Annex II
CONTINUING PROFESSIONAL DEVELOPMENT (FORM 5) – see guidelines, no.8 , Annex III
CODE OF ETHICS (FORM 6)
APPLICANT’S DECLARATION (NOTARIZED) (FORM 7)

FOR PTC USE ONLY

APPLICANT NAME: APPLICANT NO.

_______________________________________________________________________

SUBMITTED BY: ____________________________ APPLICATION FEE LIFE REGISTRATION FEE

DATE : ____________________________

CHECK: CHECK:
RECEIVED BY : ____________________________
DATE : ____________________________ DEPOSIT to PTC Account: DEPOSIT to PTC Account:

OR NUMBER: OR NUMBER:
ACTIONS :
DATE : ____________________________ DATE: DATE:
FORM 2
PERSONAL DETAILS

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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 ASEAN ENGINEER
APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

ASEAN ENGINEER

1. PERSONAL DETAILS

Title: Prof Dr Eng Mr Mrs Ms

Surname : Pakkam
Given Names (in full) : Arnajel
Middle Name : Calupindo
Date of Birth : February 24,1975
Name of Employer : Site Technology Co. Saudi

Private Address ( Preferred mailing address): Business Address ( Preferred mailing address ):

Blk11 lot8 Cybergreens ,Sunrise Hills Subdivision ,Sabang P.O. Box 250915 ,Riyadh 11391

Dasmarinas Cavite Kingdom of Saudi Arabia

Postal Code:________ Country: Philippines Postal Code: 11391 Country: Kingdom of Saudi Arabia
Tel No. ( )______________Fax:( )_____________ Tel No. ( +966 )112163800 Fax:( +966 )112163132
E-mail: a.pakkam@site-technology.com Mobile No: +966568476183

2. EDUCATIONAL/PROFESSIONAL QUALIFICATIONS (Use additional sheets if necessary)

Academic Level Degree/Title Conferred University/College/Address Dates Attended:

BS Electronics & Communications 1997-1998
Undergraduate Universidad de Zamboanga
Engineering
BS Computer Engineering Universidad de Zamboanga 1992-1997
Master in Information Technology 2018-Present
Graduate – Masteral AMA University
(MIT)
Graduate - Doctoral

Professional Qualifications/Registration
Date of Registration Registration Body Address of Registration Body Professional Discipline
November 11,1998 Philippine Regulatory Commission Sampaloc Manila Philippines Electronics Engineer
May 05,2013 Saudi Council of Engineers Riyadh ,KSA Engineer
Technological Education and Computer Technician
April 13,2005 Skills Development Authority, Zamboanga City ,Philippines
TESDA
Technological Education and Consumer Electronics
March 12,2005 Skills Development Authority, Zamboanga City,Philippines Mechanics 1
TESDA
11242 Waples Mill Certified Technology
Audio Visual Integration
Oct. 20, 2018 Rd#200 ,Fairfax, VA 22030 , Specialist, CTS
Experience Association, AVIXA
U.S.A
Harman Certified Control
March 21, 2018 Harman Pro University Harman University, USA Associate in Management,
HCCA-M

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

AMX Control Design

Dec. 13, 2015 Harman Pro University Harman University-USA Certificate,(ACE-D)
AMX Control Installation
April 15, 2014 Harman Pro University Harman University-USA Certificate,(ACE-I)
Oct. 27, 2014 Harman Pro University Harman University-USA AMX Design Certification
Harman CERTIFIED Audio
July 19, 2016 Harman Pro University Harman University-USA Associate –Programming ,
HCAA-P
Harman CERTIFIED Audio
August 1, 2016 Harman Pro University Harman University-USA Professional- Programming,
HCAP-P
Harman CERTIFIED
Dec. 18, 2016 Harman Pro University Harman University-USA Control Associate- Design,
HCCA-D
Harman CERTIFIED
August 3, 2016 Harman Pro University Harman University-USA Control Associate-
Programming, HCCA-P
Harman CERTIFIED
Harman Pro University Harman University-USA Network AV Professional-
Nov. 9,2016 Commissioning, HCNAVP-
C
Harman CERTIFIED
Harman Pro University Harman University-USA
Oct. 31, 2016 Network AV Professional-
Design , HCNAVP-D
Harman CERTIFIED
Harman Pro University Harman University-USA
May 25, 2016 Control Professional-
Commissioning, HCCP-D
1025 E. Ball road Anahem, CA Extron CERTIFED AV
Feb. 4 ,2013 Extron Electronics Associate , EAVA
92805 ,USA
15 Volvo Drive Rockleigh, NJ Digital Media CERTIFIED-
Sept. 15, 2014 Crestron Control Design, DMC-D
07647 ,USA
Certified Audio Visual
Nov. 23, 2013 BrainBox Foundation BrainBox Foundation ,USA Professional, CAVP
Channel Partner
Arecont Vision 425 E. Colorado St. 7th Floor
Oct. 14,2014 Certification Program-
Glendale,CA 91205,USA Advance ,CPCP-Advance
Channel Partner
425 E. Colorado St. 7th Floor
Sept. 25, 2014 Arecont Vision Certification Program-
Glendale,CA 91205,USA Tec ,CPCP-Tec
9300 SW Gemini Drive BIAMP Tesiraforte Certified
Sept. 23,2014 Biamp
Beaverton ,OR 97008 USA
9300 SW Gemini Drive BIAMP VOIP CERTIFIED
Nov. 27,2017 Biamp B3
Beaverton ,OR 97008 USA
70 Daggett Drive San Jose, CA ATLONA TECHNOLOGY
Nov. 16,2017 ATLONA SPECIALIST
95134 USA
70 Daggett Drive San Jose, CA ATLONA CERTIFIED
Nov.19,2017 ATLONA TECHNOLOGY
95134 USA
National Computer Science P.O Box 1067 Computer Hardware
August 16,2018 Technician
Academy Whitesboro ,Texas 76273 USA

3. FIELD (s) OF SPECIALIZATION

a) Audio Visual and Control System , (Designs, Project Management, Programming ,Installations, and Commissioning)
b) Low Current System, (Designs, Project Management, Installations, and Commissioning)

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

c) ICT and Project Managements

4. MEMBERSHIP
Society of Aerospace Engineers of the Philippines Philippine Society of Mechanical Engineers (PSME)
(SAEP)
Philippine Society of Agricultural Engineers (PSAE) Society of Metallurgical Engineers of the Philippines
(SMEP)
Philippine Institute of Civil Engineers (PICE) Philippine Society of Mining Engineers (PSEM)
Philippine Institute of Chemical Engineers (PIChE) Society of Naval Architects and Marine Engineers
(SONAME)
Institute of Integrated Electrical Engineers (IIEE) Philippine Society of Sanitary Engineers (PSSE)
X Institute of Electronics Engineers of the Philippines Philippine Institute of Industrial Engineers (PIIE)
(IECEP)
Geodetic Engineers of the Philippines (GEP)
Put (x) in the accredited professional organization where you are a member.

5. PROFESSIONAL TRAININGS/SEMINARS ATTENDED

Role (e.g.,
Program Description/Title Name/Address of Provider Dates Attended
Speaker)
2019 ASEAN Workshop IECEP-CR-KSA Attendee Feb.08,2019
Broadcasting(8th Annual Assembly) IECEP-CR-KSA Attendee Nov.30,2018
8th Annual Assembly IECEP-CR-KSA Attendee Nov.30,2018
Audio,Video, and Control AVIXA attendee Oct.23,2018
Architectural Drawings Symbols
standard
CTS Preparationb Online AVIXA Student July 16,2018
Essentials of AV Technology AVIXA Student July 12, 2018
AV Technologist AVIXA Student July 10,2018
Milestone Design Engineer Milestone Student June 9,2018
Training
Milestone fundamentals of IP Milestone Student April 15,2018
Surveillance
Harman Certified Control Associate Harman Pro Student March 21,2018
in Management
Installation and configuration of AAT Holding S.A attendee March 19,2018
NMS Software
MasterClass on VAT Compliance LEORON participant Jan. 18,2018
AV OverIP: Technical training ATLONA attendee Nov. 29,2017
AV Over IP: Sale Training ATLONA attendee Nov. 29,2017
ATLONA Technology Specialist ATLONA attendee Nov. 16,2017
ATLONA Certified Technologist ATLONA attendee Nov.19,2017
Velocity Control training ATLONA attendee Nov. 15,2017
BIAMP VOIP Certification BIAMP attendee Nov. 27,2017
LDA NEO PA/VA System Training LDA Audio attendee Nov,2017
Harman Certified Control Harman Pro attendee December 18,2016
Associate in Design
Harman Certified Network AV HArman Pro attendee Nov. 9,2016

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

Professional in Commissioning
Harman Certified Control Harman Pro attendee March 25,2016
Professional in Commissioning
CIAS Security-Perimeter detection CIAS Italy attendee March 11,2015
Open Platform 101 Samsung Techwin attendee Feb. 11,2015
Edge Recording Samsung Techwin attendee Feb. 10, 2015
SRN-1000 Samsung Techwin attendee Feb. 7,2015
Camera Configuration 4 Samsung Techwin attendee Feb. 6,2015
Camera Configuration 3 Samsung Techwin attendee Feb. 6,2015
Camera Configuration 2 Samsung Techwin attendee Feb. 6,2015
Network 101 Rev1 Samsung Techwin attendee Feb. 5,2015
Course 1E Tools Samsung Techwin attendee Feb. 5,2015
Course 1D Tools Samsung Techwin attendee Feb. 5,2015
Course 1C Tools Samsung Techwin attendee Feb. 5,2015
CPCP-Advance Arecont Vision attendee Oct. 14,2014
CPCP-Tec Arecont Vision attendee Sept. 25,2014
AMX Certified Expert Design- AMX attendee Sept. 28,2014
written
BIAMP Tesiraforte Certification BIAMP attendee Sept. 23,2014
AMX Vision2 Design consideration AMX attendee Sept.18,2014
Vision2 System Commissioning AMX attendee Sept. 18, 2018
AVX-400 Configuration and AMX attendee Sept.17,2014
Programming
Getting started with ENOVA AVX- AMX attendee Sept.17,2014
400
Getting started with ENOVA DGX AMX attendee Sept.17,2014
Getting started with ENOVA DVX- AMX attendee Sept.17,2014
3150H
How to sell ENOVA Solution AMX attendee Sept.17,2014
INspired Xpert Configuration and AMX attendee Sept.17,2014
Programming
School View Audio Enhancement AMX attendee Sept.17,2014
Getting started with AMX smart AMX attendee Sept.17,2014
WAP
Getting started with Voice over IP AMX attendee Sept.17,2014
Getting started with Wireless Tech AMX attendee Sept.17,2014
Network Media essentials AMX attendee Sept.17,2014
AMX Smart WAP setup and Config AMX attendee Sept.17,2014
AMX PDU Config and AMX attendee Sept.16,2014
Programming
AMX PDU Design and AMX attendee Sept.16,2014
Implementation
Clear Connect setup and Config AMX attendee Sept.16,2014
Configuration Touch Panel AMX attendee Sept.16,2014
transitions and Gestures
Getting started with AMX Clear AMX attendee Sept.16,2014
Connect
Getting started with Power AMX attendee Sept.16,2014
Distribution Unit
Getting started with RMS AMX attendee Sept.16,2014

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

Enterprises
How to sell AMX Control system AMX attendee Sept.16,2014
How to sell NOVARA 3000 control AMX attendee Sept.16,2014
pads
RMS Installation AMX attendee Sept.16,2014
Signal Management Essentials AMX attendee Sept.16,2014
Getting started with Netlink Studio AMX attendee Sept.16,2014
Getting started with AMX Control AMX attendee Sept. 15, 2014
System
Getting started with Modero X- AMX attendee Sept. 15, 2014
series
Getting started with Touch Panel AMX attendee Sept. 15, 2014
Design
Getting started with TC Panel AMX attendee Sept. 15, 2014
Networking Essentials AMX attendee Sept. 15, 2014
AMX Essentials AMX attendee Sept. 15, 2014
Getting started with Netlink AMX attendee Sept. 15, 2014
Programming
Programming Essentials AMX attendee Sept. 15, 2014
Crestron Shaded Solution Designer Crestron attendee Sept. 21, 2014
Crestron RL-Certified Crestron attendee Sept. 21, 2014
Digital Media Certifed Designer 4K Crestron attendee Sept. 15, 2014
Tonna IPTV Training Tonna France attendee Dec. 16,2013
Extron AV Certification Extron attendee Feb. 4 ,2013
Extron Fiber Optic Design Extron attendee March 1, 2012
Extron AV Streaming Design Extron attendee March 2 ,2012
Extron AV Streaming Design- Extron attendee April 5 ,2012
Summer2011
Extron control System Extron attendee March 28,2012
Extron AV streaming Design –2nd Extron attendee March 22,2012
Edition
Extron Digital design Extron attendee Feb. 27 2012
Chief Certified Partner Certification Chief attendee 2011
Occupational Safety and Health in Alison attendee 2012
Construction
Occupational Safety and Health in Oshacademy attendee June 6,2012
Professional
OffShore Onshore Oil and Gas O3GHSE training Center Phil. attendee May 2012
Safety and Health Professional
Basic Finance HP E-Learning attendee Dec. 31,2014
Social Media Marketing HP E-Learning attendee Jan. 2,2014
Profit and Lost HP E-Learning attendee Dec. 31, 2013
Unique Value Preposition HP E-Learning attendee Jan. 5,2014
Maximizing Capacity HP E-Learning attendee Jan. 7 ,2014
Your target Audience HP E-Learning attendee Jan. 13, 2014
Selling Online HP E-Learning attendee Jan. 5, 2014
Managing contact information HP E-Learning attendee Jan. 8, 2014
Finding Funding HP E-Learning attendee Jan. 1, 2014
Effective Presentation HP E-Learning attendee Jan. 15, 2014
Business Email HP E-Learning attendee Jan. 16, 2014

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

Customer Relationship HP E-Learning attendee Jan. 8,2014

Management
Hiring Staff HP E-Learning attendee Jan. 8, 2014
Presenting Data HP E-Learning attendee Jan 16,2014
Setting Prices HP E-Learning attendee Jan 6, 2014
Cash Flow HP E-Learning attendee Jan 1, 2014
Effective Business WEB Site HP E-Learning attendee Jan 16,2014
Sale Forecasting HP E-Learning attendee Jan 2,2014
Marketing Benefits VS. Features HP E-Learning attendee Jan 6,2014
Inventory Management HP E-Learning attendee Jan 9,2014
Social Entrepreneurship HP E-Learning attendee Jan 21, 2014
Energy Efficiency HP E-Learning attendee Jan 21,2014
CCNA Exploration: Network E-Learning Zamboanga attendee Jan 21, 2008
Fundamental
Excellent Customer Care Spreadhead Training attendee May 15,2007
Sony Video conferencing Sony Middle East, Dubai attendee March 20,2003
Antenna Transmission and IECEP-Zamboanga Attendee Dec. 11,1999
Propagation
First Induction of Officers and IECEP-Zamboanga Officer Sept. 18,1999
Members of IECEP Zamboanga
Seminar on Government Laws and IECEP-Zamboanga Attendee Sept. 18,1999
Ethics
Seminar on CPE Premier IECEP-Zamboanga Attendee Sept. A8,1999

(Submit Supporting Documents)

6. AWARDS/CITATION RECEIVED

Date Received Name of Citation Name/Address of Awarding Organization

Most Outstanding Youth SALSILAH ,Zamboanga City
Most Outstanding Youth Barangay Council of Recodo

(Submit Supporting Documents)

7. AFFILIATION IN BUSINESS/PROFESSIONAL/CIVIC ORGANIZATIONS

Inclusive Date Name/Address of Organization Positions Held

Feb. 24, 2018 IECEP-CR-KSA, Riyadh KSA Member
May 3, 2013 Saudi Council of Engineer, Riyadh KSA Member
October 20,2018 AudioVisual And integration Member
Experience Association , AVIXA USA
Marc1997 Institute of Computer Engineers of Member
the Philippines, Philippines

(Submit Supporting Documents)

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

FORM 3:
SEVEN YEARS (7) OF PROFESSIONAL EXPERIENCE

8. SEVEN (7) YEARS PROFESSIONAL EXPERIENCE (Use separate sheets for each company)
Name of Company/Project Owner:_SITE TECHNOLOGY CO. SAUDI
Address of Company: Tahlia St. Olaya Riyadh ,KSA

Work Starting Ending

No. Date Date Project Name Position Held
Location Nature of Work
Month – year Month - year
(latest – Oldest)
1 2017 present KFMC-PPNNCC Riyadh Access control, Project Manager/
IPCCTV,PA/EVAC Design Engr.
2 2015 2017 King Fahad Medical City Riyadh Access Control,IPCCTV Project Engr/
Support Engr
3 2015 2018 King Faisal Specialist Riyadh IP Video Intercom Project Engr.
Hospital
4 2015 present Golden Tower Jeddah Jeddah IPCCTV,Access Control Design Engr.
IPVideo Intercom
5 2015 present MOI-NIC Project Riyadh Gate Barrier &Blocker Project Engr.
and Traffic
Light
6 2015 2018 Imam Saud University Riyadh Audio Visual System Design/Project
Engineer
7 2015 Present King Khalid Int’l Airport Riyadh IPCCTV,Access Control, Design/Project
Extension & Audio Intercom Engineer
8 2016 2018 MOI-Public Security Riyadh IPCCTV Design/Project
Engineer
9 2014 2016 Riyadh Oil & Gas Building Riyadh Audio Visual, CCTV Design/project Engr
MATV, and Intrusion
10 2013 2015 Abha Maternety Hospital Abha CCTV system Design/Project Engr.
11 2013 2014 Gulf international Bank KSA Audio Visual System Estimation Engineer

12 2013 2014 Northern Regional Cement Turaif IPCCTV system Project/estimation

Engineer
13 2012 2013 Al Naseem Police station Riyadh CCTV System Estimation Engineer
14 2012 2013 MOI Herembla Project Riyadh CCTV,Access Control, Estimation/Project
And Intrusion Alarm Engineer
15 2012 2014 MODA-Ministry of Defense Riyadh Audio Visual system Estimation/project
And Aviation Engineer
16 2012 2014 Emirate National Bank Riyadh CCTV,Access Control, Project/Design Engr.
And Intrusion Alarm
17 2012 2013 Ministry of Health Riyadh CCTV and Access Project/Presale
Control Engineer
18 2012 2013 Ministry of Islamic Affairs Riyadh Audio Visual System Project/PreSale
Engineer
19 2011 2015 King Abdullah International Jeddah IPTV System Project/Design Engr
Convention Center
20 2012 2013 Al Mazar Police station Riyadh CCTV System Project/Presale Engr
21 2012 2013 Al Houfuf Police station Houfuf CCTV system Project/PreSale Engr

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
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22 2012 2012 Al HASA Islamic School Al Hasa MATV Project/PreSale Engr

23 2011 2012 Air Base Riyadh Riyadh PA System Project/Design Engr
24 2011 2012 King Abdullah Road tunnel Riyadh PA and Intercom Project/Design Engr
System

(Submit Supporting Documents – see guidelines no. 1)

CERTIFYING ORGANIZATION AND ATTESTER

Certifying Organization Site Technology Co. Saudi

Address Tahlia St. Olaya , Riyadh ,KSA
Certified by: (see guidelines no. 2) Signature
Telephone/email
Attested by: (see guidelines no. 3)
Telephone/email Signature

Notes:
a. Nature of Work – should include a description of engineering and or management activities which the applicant performed
and/or which the applicant is directly responsible for
b. Certificate of employment must accompany this form
c. Attach Organization Chart – See Guidelines no. 6

Name of Company/Project Owner: OHI Electronics

Address of Company: Muscat Sultanate of Oman

Work Starting Ending

No. Date Date Project Name Position Held
Location Nature of Work
Month – year Month - year
(latest – Oldest)
1 2008 2010 Shang-rila Bar Aljisah Bar Aljisa SMATV and PA/BGM Project /
System Design Engineer.
2 2009 2010 Season Hotel Al Kuwair SMATV, PA/BGM,and AV Project /
system Design Engineer.
3 2009 2009 Sultan Qaboos Palace Nizwa Background Music Project /
Design Engineer.
4 2009 2009 Carrefour Qurum Public Address and Project /
Background music Design Engineer.
5 2008 2009 Ministry of Islamic Affairs Al Kuwair Audio Visual for Project /
Auditorium Design Engineer.
6 2009 2009 Dental Hospital-MOH Seeb Audio Visual System Project /
Design Engineer.
7 2009 2009 Royal Air Force Base Seeb Audio Visual and Control Project /

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
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system for Meeting room Design Engineer.

8 2008 2010 Wadi Kabir Accomodation Muscat SMATV Project /
Design Engineer.
9 2009 2010 Qurum Police Stadium Stadium LED score board system Project /
Design Engineer.
10 2009 2009 Seeb Stadium Seeb CCTV system Project /
Design Engineer.
11 2008 2009 Sultan Qaboos University Seeb Public Address system Project /
and Score Board Design Engineer.

CERTIFYING ORGANIZATION AND ATTESTER

Certifying Organization OHI Electronics

Muscat, Sultanate of Oman
Address

Certified by: (see guidelines no. 2) Signature

Telephone/email
Attested by: (see guidelines no. 3)
Telephone/email Signature

Name of Company/Project Owner: Techno Q

Address of Company: Doha, State of Qatar

Work Starting Ending

No. Date Date Project Name Position Held
Location Nature of Work
Month – year Month - year
(latest – Oldest)
1 2006 2007 Hamad Medical Corporation Doha Theater, Auditorium, and Senior Technician
Access Control system
2 2006 2007 New Hamad International Doha CCTV system Senior Technician

Airport

3 2006 2007 Georgetown University Doha Audio Visual System Senior Technician

4 2007 2007 Qatar University Doha Audio Visual System Senior Technician

5 2006 2007 American School of Doha Doha Audio Visual and Senior Technician
Masterclock system
6 2006 2007 Well Cornell Medical College Doha Audio Visual System Senior Technician

7 2006 2007 Texas A&M Doha Audio Visual and Control Senior Technician
system
8 2006 2007 College of North Atlantic Qatar Doha Audio Visual ,and Control Senior Technician
System

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

9 2006 2006 Mashreq Bank Doha CCTV and Intrusion Alarm Senior Technician
System
10 2006 2006 Al Rayan Bank Doha CCTV and Intrusion Senior Technician
system
11 2006 2007 La Cigalle Doha Public Address system Senior Technician
and AV system
12 2006 2007 Al Sharq Hotel Doha Digital Public Address Senior Technician
system
13 2006 2007 Qatar Petroleum Dukhan Audio Visual System Senior Technician
14 2006 2006 Ziyad Villas Doha Intrusion alarm and Senior Technician
Lighting control
15 2006 2006 Aspire Salwa Audio Visual System Senior Technician
16 2006 2006 Kahramaa Water and Doha CCTV system Senior Technician
Elecricity

CERTIFYING ORGANIZATION AND ATTESTER

Certifying Organization Techno Q

Doha ,State of Qatar
Address

Certified by: (see guidelines no. 2) Signature

Telephone/email
Attested by: (see guidelines no. 3)
Telephone/email Signature

Name of Company/Project Owner: Visionare FZE

Address of Company: Dubai , United Arab Emirates

Work Starting Ending
No. Date Date Project Name Position Held
Location Nature of Work
Month – year Month - year
(latest – Oldest)
1 2003 2004 Higher College of Technology Dubai Audio Visual, and Control Assistant Technica
Dubai System
2 2003 2004 Higher College of Technology Abu Dhabi Audio Visual, and Control Assistant Technica
Abu Dhabi System
3 2003 20074 Higher College of Technology Sharjah Audio Visual, and Control Assistant Technica
Sharjah System
4 2003 2004 Higher College of Technology Ajman Audio Visual, and Control Senior Technician
Ajman System
5 2003 2004 Higher College of Technology Al Ain Audio Visual, and Control Assistant Technica
Al Ain System
6 2003 2003 Al Nakheer Sales Office Dubai Audio Visual System Assistant Technica
7 2003 2003 Arab Bank Abu Dhabi Interactive System Assistant Technica
8 2003 2003 American University Dubai Dubai Audio Visual ,and Control Assistant Technica
System

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

9 2003 2003 Emirate Training Center Dubai Audio Visual and Assistant Technica
Interactive system
10 2003 2003 Standard Charter Bank Dubai Public Address System Assistant Technica

11 2003 2003 Grundfos Dubai Audio Visual and Assistant Technica

Control system
12 2002 2003 Gasco Abu Dhabi Audio Visual and Control Assistant Technica
System
13 2002 2003 Procter and Gamble Dubai Audio Visual System Assistant Technica

CERTIFYING ORGANIZATION AND ATTESTER

Certifying Organization Visionaire FZE

Jebel Ali Dubai,United Arab Emirates
Address

Certified by: (see guidelines no. 2) Signature

Telephone/email
Attested by: (see guidelines no. 3)
Telephone/email Signature

Name of Company/Project Owner: Universidad de Zamboanga

Address of Company: Tetuan ,Zamboanga City Philippines

Work Starting Ending
No. Date Date Project Name Position Held
Location Nature of Work
Month – year Month - year
(latest – Oldest)
1 1997 2002 Universidad de Zamboanga Zamboanga Academe Engineering Instru
City

CERTIFYING ORGANIZATION AND ATTESTER

Certifying Organization Universidad de Zamboanga

Tetuan, Zamboanga City Philippines
Address

Certified by: (see guidelines no. 2) Signature

Telephone/email
Attested by: (see guidelines no. 3)

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

Telephone/email Signature

Notes:
d. Nature of Work – should include a description of engineering and or management activities which the applicant performed
and/or which the applicant is directly responsible for
e. Certificate of employment must accompany this form
f. Attach Organization Chart – See Guidelines no. 6

(This form is good only for one office/company)

FORM 4:
TWO (2) YEARS SIGNIFICANT ENGINEERING WORKS

9. TWO (2) YEARS RESPONSIBLE CHARGE OF SIGNIFICANT ENGINEERING WORK (use separate sheets for each company)

Name of Company/Project Owner: Site Technology Co. Saudi

Address of Company: Aldeghaither Center Tahlia St. Olaya Riyadh, Kingdom of Saudi Arabia
Inclusive Dates
Work Starting Month – Ending
Project Position Period
no. Month
(Title and Location) /Title (Month/Weeks)
Month - year
(Latest – Oldest))
1 Access control,IPCCTV,PA/
2017-Present Project Manager/Design Engr. 23 months
EVAC For KFMC-PPNNCC,Riyadh KSA
2 Access control,IPCCTV for King Fahad
2015-2017 Project Engr/Support Engr 32 months
Medical City,Riyadh KSA
3 IP Video Intercom System for
2015-2018 King Faisal Specialist Project /Design Engineer 45 months
Hospital, Riyadh KSA
4 IPCCTV, Access Control, and IP Video
2015-present Intercom System for Golden Tower Design /Project Engineer 38 months
Jeddah,KSA
5 Road Blockers, Gate Barriers , and
2015-present Project/Design Engineer 38 months
Traffic Light Signal for MOI-NIC Project
6 Audio Visual,CCTV, MATV, And
2014-2016 Intrusion Alarm System for Riyadh Oil & Design/project Engineer 32 months
Gas Building,Riyadh KSA
7 Audio Visual and Interactive System for
2013-2014 Gulf international Bank all over Project/Design Engineer 22 months
Kingdom,KSA
8 Audio Visual System, Ministry of Defense
Project/Design Engineer
2013-2014 and Aviation (MODA), Riyadh KSA 23 months

9 IPTV System for King Abdullah

2011-2015 International Convention Center, Jeddah Project/Design Engineer 56 months
KSA

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

10 IP Intercom system for King Abdullah

2011-2012 Project/Design Engineer 23 months
Road tunnel, Riyadh KSA
TOTAL YEARS/MONTHS 8 years
Note: For each of Project indicated above you must answer the following questions in Form 4a.

CERTIFYING ORGANIZATION AND ATTESTER

Certifying Organization Site Technology Co. Saudi

Address Tahlia St. Olaya, Riyadh , KSA
Certified by: (see guidelines no.2) Signature
Telephone/email
Attested by: (see guidelines no. 3)
Telephone/email Signature

(THIS FORM IS GOOD ONLY FOR ONE OFFICE/COMPANY)

FORM 4a:
Instruction: In no less than 2000 words, write your two years significant engineering work of responsible charge in English and
narrative form, clearly stating your role and responsibilities. Use the first person – I, Me, My, to show your personal contribution and
should emphasize questions (a – e). (see guidelines) No. 8

Project Title:
Project Background:

a. Personal engineering and/or management contribution and responsibility.

b. Problem faced, before or during and/or after the project activity/ duration.

c. Solution/s formulated/found and implemented.

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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(All entries must be computer printed or typewritten)

d. Description of engineering judgement you made

e. Impact generated by the above solutions and judgement.

(This form is good only for one office/company)

FORM 5:
CONTINUING PROFESSIONAL DEVELOPMENT

10. CONTINUING PROFESSIONAL DEVELOPMENT

Time (hours)
CPD Activity Title/Topic Name & Address of
REF DATE TYPE Weight Weighted
Description Provider Actual
Factor hours
1 02/08/19 2019 ASEAN Workshop IECEP-CR-KSA 4
2 11/30/18 8th Annual Assembly IECEP-CR-KSA 8
3 7/12/18 Essential of AV AVIXA 20
technology
4 10/23/18 Audio ,video, and Control AVIXA 4
Architectural drawings
symbols and standards
5 7/16/18 CTS Prep Online AVIXA 20
6 7/17/18 Quick Start to the AV AVIXA 12
industry Online
7 7/10/18 AV Technologist AVIXA 240
8 6/9/18 Milestone Design MILESTONE 4
Engineering Training
9 4/15/18 Milestone fundamentals of MILESTONE 1

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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 ASEAN ENGINEER
APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

IP surveillance
4/3/2018 IP Video Intercom System Engr. Arnajel Pakkam 2
training Trainor
10 3/19/18 Installation and AAT Holding S.A 4
Configuration of NMS
Software
11 1/18/18 Masterclass on VAT LEORON 16
Compliance
12 11/29/17 AV Over IP:Technical ATLONA 24
Training
13 11/29/17 AV Over IP : Sales ATLONA 8
Training
16 11/16/17 ATLONA Technology ATLONA 24
Specialist
14 11/19/17 ATLONA Certified ATLONA 24
Technology
15 11/15/17 Velocity Control Training ATLONA 24
16 11/27/17 BIAMP VOIP Certification BIAMP 24
17 11/04/17 LDA NEO PA/EVAC LDA Spain 8
System
2/23/201 IP Video Intercom System Engr. Arnajel Pakkam 2
7 training for KFSH Trainor
18 12/18/16 Harman Certified Control Harman University 24
Associate - Design
19 11/9/16 Harman Certified Network HArman University 24
AV Professional-
Commissioning
20 3/25/16 HArman Certified Control Harman University 24
Professional -
Commissioning
21 3/21/18 Harman Certified Control Harman University 24
Associate -Management
25

Total CPD activities (Goal of 150 hours within the 3-year period, beginning from the latest)
SEE GUIDELINES NO. 8
_____________________________________________________________________________________
(USE ADDITIONAL SHEETS IF NECESSARY)

FORM 6:
CODE OF ETHICS

THE PTC CODE OF ETHICS

PREAMBLE

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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 ASEAN ENGINEER
APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

It is a solemn responsibility of a PTC member, after admission in the practice of a particular profession to adhere to the fundamental
principles of his profession guided by the norm of conduct consistent with this Code of Ethics.

ARTICLE 1
DECLARATION OF PRINCIPLES

Rule 1. The practice of a particular allied Technological Profession is a privilege granted by the state. The privilege requires high
degree of knowledge, efficiency, responsibility, and morality. The dignity and honor of the profession must at all times be
kept unblemished.

Rule 2. The PTC Member shall, in the practice of his profession, be governed by the Golden Rule, and the ideals of services to man
and his environment.

Rule 3. The duly constituted authorities shall be recognized and obeyed in the practice of his profession.

ARTICLE II
RESPONSIBILITIES TO THE STATE

Rule 1. The PTC member shall maintain allegiance to the Republic of the Philippines, support the Constitution and obey all laws
duly promulgated and approved by the duly constitute authorities.

Rule 2. He shall strive for the common good and shall contribute his expertise for the success of national projects, programs or
policies.

Rule 3. He shall always be ready and willing to render professional service, even without compensation, in cases of accidents,
emergencies or calamities.

ARTICLE III
RESPONSIBLITIES TO THE COMMUNITY

Rule 1. The PTC Member should be aware of the safety and welfare of the people, in the pursuit of his profession.

Rule 2. He shall be well informed of the latest technological progress in his own line of work. He shall encourage, and require the
use or application of standard equipment, machinery, or process for safety, economy and efficiency.

Rule 3. He shall update and enhance constantly his professional knowledge and skills through assiduous research and study, and
meaningful participation in continuing education programs and seminars conducted by the different Technological
Associations or Educational Institutions supervised by the state.

Rule 4. He shall avoid and discourage sensational, exaggerated and unwarranted statements that might induce participation in
unsound enterprises.

Rule 5. When he discovers faulty or unsafe devices, equipment, or machinery in any place, work or plant, he shall without delay,
give notice thereof to the proper authority, public or private, for its immediate and effective correction.

ARTICLE IV
RESPONSIBILITIES TO EMPLOYER AND CLIENTS

Rule 1. The PTC Member must faithfully use his knowledge and skills on performing his tasks to his clients or employer.

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

Rule 2. He shall protect with utmost professional attention the interests of his employer or client.

Rule 3. He shall not advance or promote any interest of his client or employer which is contrary to law, public or professional
obligations and ethics.

Rule 4. Whenever his obligations to his employer or clients are in conflict with his professional obligations or ethics, he should
endeavor to resolve the conflict in accordance with the law public policy, and the provision of this code. When the conflict is
beyond reconciliation, he should serve his professional engagement.

Rule 5. He shall not divulge any information given in confidence during his employment, neither shall be attempt to profit therefrom
nor shall he use, directly or indirectly, such information to the prejudice of his employer and other contracting parties shall
be faithfully determined and discharged

Rule 6. He shall not engage or offer to engage, his professional services to those with conflicting and adverse interests.

Rule 7. He shall act as trustee of his client or employer in the preparation of contracts and similar documents. He shall be impartial
in the interpretation of such documents so that the rights and obligations of his clients or employer and other contracting
parties shall be faithfully determined and discharged.

Rule 8. He must refer his client or employer, whenever necessary, to serve the interests of the later, to experts or consultants. He
must not accept any favor or compensation whatsoever for the referral to such experts or consultants.

ARTICLE V
RESPONSIBILITY TO EMPLOYEES

Rule 1. The PTC Member, as employer, shall at all times be concerned with the welfare of his employees whose rights as workers
are guaranteed under the Constitution and protected by laws.

Rule 2. He shall be willing to share the substantial profits from his enterprise with the employees responsible thereof.

Rule 3. He must observe and obey all laws, rules and regulations on labor, particularly those affecting labor relations, hours of work,
wages and terms and conditions of work.

Rule 4. He shall at all times strive to improve the knowledge and skills of his employees, provide safety measures for his men, and
maintain the operations efficiency of his machines or equipment.

ARTICLE VI
RESPONSIBILITIES TO COLLEAGUES

Rule 1 .”To thine oneself be true and thou cannot be false to any man “expresses the duty which a PTC Member owes to himself
and to others.

Rule 2. He shall use only fair means to gain professional advancement. In the pursuit thereof, he shall not injure the work
employment opportunities of others, or use any improper or questionable method of soliciting employment of clientele.

Rule 3. He shall not fraternize with those engaged in unethical practices.

Rule 4. He must duly acknowledge the professional work of his colleagues and subordinates and give full recognition thereto.

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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APPLICATION FORM AND GUIDELINES FOR APPLICANTS
(All entries must be computer printed or typewritten)

Rule 5. He shall define clearly the line of authority and the scope of responsibility of his associates and assistants, orders or the
recall thereof, shall be issued through proper channels.

Rule 6. He must always encourage and promote the professional advancement of his colleagues, especially when he occupies a
position of authority. He shall exert efforts to assist in the development of the Knowledge and skills of his colleagues.

Rule 7. He shall receptive to new ideas and suggestions from others, and ready to recognize, encourage, and accredit the authors
thereof.

Rule 8. He shall use tact and discretion in dealing with his colleagues and associates, but not at the sacrifice firmness. He shall
work out difficulty problems with courage and serenity.

Rule 9. He shall actively support the duly accredited association with the end in view of enhancing the practice of the profession and
discharging his public responsibilities as a professional.

PENAL PROVISIONS

Violation of any provision of this code shall constitute unethical or unprofessional conduct and shall be dealt with under the provisions
of the pertinent section of the particular Architecture, Engineering or Allied Profession’s Law.

In addition to the PTC code of ethics, each of the professional disciplines has its own Code of Ethics, which the professional is
expected to observe and be bound with.

I DECLARE TO OBEY AND BE BOUND BY THE ABOVE CODE OF ETHICS

___Arnajel C. Pakkam_____________
SIGNATURE ABOVE PRINTED NAME

_____________________________________________________
Date

FORM 7:
APPLICANT’S DECLARATION

11. APPLICANT’S DECLARATION

I certify under penalty of perjury and/or falsification of public documents that all the documents submitted in support of this application are true
copies of the authentic original documents and that I am prepared to submit theses original documents if and when required.

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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(All entries must be computer printed or typewritten)

I hereby declare that all statements of facts in my Application are true and correct and I have made claims of acquired competencies in good
faith. The report is my own work.

I confirm that I have read and that I understand the PTC Code of Ethics and the Codes of Ethics of my profession. I agree that, if admitted as an
Advanced Level Engineer, I will observe and will be bound by these Codes of Ethics.

I understand that I have an obligation to inform PTC and my APO of any matter that may affect my fitness for admission to and continued
inclusion in the Advanced Level Engineer Register.

In support of my application for registration on the Advanced Level Engineer Register, I

 certify that I have been engaged in independent practice or have worked as an employee under the general direction of a professional or
have been enrolled in a formal post-graduate training program in my area of expertise for at least the equivalent of one full-time year during
the past three years;

 certify that over that period I have maintained my continuing professional development (CPD) by involvement in activities related to my area
of expertise;

 acknowledge that, on renewal of my APO membership, by paying my registration fee for the coming year, I will be indicating to the council my
clear intention to abide by the undertakings I have made in applying for registration, and will be confirming that my circumstances have not
placed me outside the minimum practice requirements;

 acknowledge that my compliance with these CPD requirements during the period in which I remain registered may be audited at any time;
and

 Consent to my business contact details being published in any form associated with my registration as Advanced Level Engineer.

 Stand ready for professional interview and respond to any reasonable request of the Philippine Technological Council (PTC) for explanations
and further information in relation to my application

Signature: ………………………………………………………………………………………………… Date: ………………………………………

(Signature of Declarant)

Declared at…………………………………………………………………………… this………………………………………………………………..

(Place) (Date)

Before me (notarized)
………………………………………………………………………………………………………………………………………………………………….

Residing at ………………………………………………..……………………………………………………………………………………………........
(Name, profession and address in BLOCK LETTERS, of person authorized to certify the declaration. Please sign above name.)

Date:……………………………………………………………………………………………………………………………………………………………

APPLICANT NAME:_____________________________SIGNATURE:_______________________APO/DATE:_________
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