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UAP DXB 01 Membership Form

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UNITED ARCHITECTS OF THE PHILIPPINES

THE INTEGRATED AND ACCREDITED PROFESSIONAL ORGANIZATION OF ARCHITECTS


6-Time PRC’s Outstanding Accredited Professional Organization of the Year (2002, 2007, 2008, 2011, 2014, 2017)
First-ever recipient of DTI-CIAP’s Outstanding Accredited Professional Organization (2017)
First-APO recipient of Father Neri Satur Award for Environmental Heroism (2009)
UAP CORPORATE CENTER, 53 SCOUT RALLOS ST., DILIMAN, QUEZON CITY
TEL. NOS. (632) 888 – 9266 • FAX NO. (632) 3721796
EMAIL: uapnational@yahoo.com • membership@united-architects.org WEBSITE: www.united-architects.org

UAP MEMBERSHIP REGISTRATION FORM


THIS FORM MUST BE PROPERLY FILLED-UP AND ENDORSED BY THE NEW / EXISTING
CHAPTER BEFORE REGISTRATION CAN BE PROPERLY PROCESSED MEMBER MEMBER

A. PERSONAL INFORMATION
FAMILY NAME FIRST NAME MIDDLE NAME
Dela Cruz Juan Santos
CURRENT PHOTO
BIRTHDATE (MM/DD/YYYY) BIRTHPLACE SEX CIVIL STATUS (1.5” X 1.5”; white background)

02/31/1979 Quezon City M S


HOME / PERMANENT ADDRESS TEL NO/s.
1201 Abdullah Residential Tower, Dubai Marina. Dubai
FACEBOOK ID TWITTER ID SKYPE ID WEBSITE MOBILE NO/s.
@JuanNak @NakJuan @officialJua www.juan.com +971 55 444 3333
NAME OF COMPANY AND ITS OFFICIAL ADDRESS TEL NO/s. MAILING PREFERENCE EMAIL ADDRESS
+971 4 123 4567 Juan@companyname.com
Lucas Architects and Partners
401 Al Badri Tower, JLT Dubai UAE HR EMAIL hr@companyname.com
www.lucasarchitecture.com DESIGNATION Architect
SCHOOL GRADUATED (For Your BS Architecture Diploma) YEAR GRADUATED HONORS
University of Santo Thomas, Manila. Philippines 1998
POST GRADUATE SCHOOL GRADUATED or Currently Enrolled In YEAR GRADUATED HONORS

SPECIAL COURSE / TRAINING SCHOOL / INSTITUTE / ETC. YEAR COMPLETED

AWARDS, RECOGNITIONS, HONORS RECEIVED

B. PROFESSIONAL INFORMATION
PROFESSION PRC NO. DATE ISSUED (MM/DD/YYYY) VALID UNTIL(MM/DD/YYYY)
01 Registered and Licensed Architect 00122365 04/29//2001 04/29//2019
02

03

SPECIFIC TYPE OF EXPERTISE YEARS OF


TYPE OF ARCHITECTURAL PRACTICE ARCH’L SERVICES RENDERED:
PRACTICE
01 hospitality 5 ACADEME PRE-DESIGN DESIGN

SPECIALIZED
02 healthcare 5 GOVERNMENT ALLIED CONSTRUCTION

POST DESIGN-
03 residential 3 / PRIVATE PRACTICE CONSTRUCTION BUILD
OTHERS
04 educational 5 PRIVATE CORPORATION / CONSULTING ___________

C. MEMBERSHIP STATUS
YEARS OF LATEST POSITIONS HELD
UAP CHAPTER AFFILIATIONS
RESIDENCY (as regular member or officers)

CURRENT CHAPTER UAP Dubai Chapter 8 Regular member


PREVIOUS CHAPTER
POSITIONS HELD IN THE NATIONAL BOARD, NATIONAL OR SPECIAL COMMITTEES INCLUSIVE DATES
01

02

03

04
CERTIFICATION
I hereby certify and declare under the penalties of perjury, that all the information herein is a true statement of __________________________ 06/01/2018
my personal and professional information as of this date, as required by and in accordance with the UAP By-
Laws and its Implementing Rules and Regulations. Signature and Date (MM/DD/YYYY)
Dubai Membership Form Updated 06.01.2018
UAP MEMBERSHIP GENERAL INFORMATION
UAP CHAPTERS (as of February 2, 2018) TABLE OF FEES (as of February 2, 2018)
AREA A
DISTRICT A1A PANGASINAN-DAGUPAN, BAGUIO, ILOCOS-CIUDAD FERNANDINA, LA PARTICULAR BASIS FEES DUE ON
UNION, ILOCOS NORTE-LAOAG CITY, SUMMER CAPITAL, PANGASINAN
(NORTHERN LUZON) A. FOR NEW MEMBER
SCALE, YLOCOS VIGAN, LA UNION-AGUILA, CORDILLERA
Article IV Section 2.1
DISTRICT A1B
CAGAYAN VALLEY, ISABELA SIERRA MADRE, NUEVA VIZCAYA, CAGAYAN The initial membership fee shall be assessed on
(PART OF
NORTH new members upon registration, in such amount
NORTHERN LUZON) 1. Initial Membership determined by the National Board of Directors, Upon
DISTRICT A2A NUEVA ECIJA CABANATUAN, BULACAN, BARASOAIN, STA. MARIA- P100.00 applicatio
Fee and shall be collected by the Chapter and must n
(CENTRAL LUZON) BULACAN EAST, DEL PILAR-BULACAN, MALOLOS REPUBLIKA be remitted to the National Treasurer. Provided,
DISTRICT A2B ZAMBALES-OLONGAPO, TARLAC, PAMPANGA-SAN FERNANDO, however, that in no case shall said fee be greater
(PART OF CENTRAL BALANGA-BATAAN, ANGELES CITY, SINUKWAN-PAMPANGA, CLARK • than the national annual membership dues.
LUZON) ANGELES CITY-ALAYA Article IV Section 2.2
DISTRICT A3 The national annual membership dues, in such
QUEZON CITY, QC SILANGAN, QC CAPITOL, QC TANDANG SORA,
(QUEZON CITY- amounts determined by the National Board of
HONGKONG, QC CENTRAL, QC SOUTH TRIANGLE, LOS ANGELES
Septembe
NORTH) 2. National Annual Directors shall be collected by the Chapter and P600.00 r
DILIMAN, NEW MANILA, CAMANAVA HILAGA, QC ELLIPTICAL, NOVA Membership Dues must be remitted to the National Treasurer on or 30
DISTRICT A4
CENTRAL, KSA EASTERN PROVINCE , KSA WESTERN REGION KSA before September 30. A member joining during
(QUEZON CITY
RIYADH, UAE DUBAI, UAE ABU DHABI, QATAR, KUWAIT, BAHRAIN, OMAN, the year shall pay the amount corresponding to
SOUTH)
CAMANAVA-AB BANTAYOG the full year’s dues.
DISTRICT A5 RIZAL TAYTAY, PASIG, MARIKINA VALLEY, SAN JUAN MANDALUYONG, Article IV Section 2.4 As may be
On or
GREENHILLS, RIZAL EAST, CALIFORNIA SAN FRANCISCO, CALIFORNIA 3. Chapter Annual The chapter annual membership dues, in such determined before
(METRO MANILA – 116, RIZAL KALAYAAN 100, RIZAL CAINTA 101, SAN JUAN Membership Fee amounts determined by the Chapter Board of by
end
NORTH) the Chapter of August
PINAGLABANAN, SOUTHERN CALIFORNIA Directors shall be collected from the members
B. FOR REGULAR MEMBER, OTHER FEES
AREA B Article IV Section 2.2
The national annual membership dues, in such
DISTRICT B1 ATELIER, MANILA SAMPALOC, MANILA METRO, MANILA CENTRUM, amounts determined by the National Board of
Septembe
(MANILA NORTH) MANILA ARCHIZONIAN, MANILA STA. MESA, SINGAPORE 1. National Annual Directors shall be collected by the Chapter and r
P600.00
MANILA MAGS, MANILA MAHARLIKA, MANILA MAYNILAD, MANILA Membership Dues must be remitted to the National Treasurer on or 30
DISTRICT B2
CORINTHIAN, MANILA INTRAMUROS, MANILA ALCALDIA, ONTARIO- before September 30. A member joining during
(MANILA SOUTH)
CANADA, MANILA LA SOLIDARIDAD, BRITISH COLUMBIA the year shall pay the amount corresponding to
DISTRICT B3 MAKATI, MAKATI-CBD, PARAÑAQUE-PALANYAG, MAKATI GREENBELT, the full year’s dues.
(METRO MANILA – ALABANG, CAVITE, FORT BONIFACIO, SHANGHAI, BRUNEI, LAS PIÑAS, 2. Annual Dues
SOUTH) KUALA LUMPUR, GUAM-USA (National) Likha Gold
DISTRICT B4 Medal Awardee, COF Article IV Section 6 Septembe
QUEZON PROVINCE, SAN PABLO, LAGUNA, BATANGAS, PALAWAN, r
(SOUTHERN Honorary Member, Other Fees and Dues P1.00
MINDORO, LIPA, BATANGAS LAKESHORE 30
TAGALOG) Member
CAMARINES, LEGAZPI, IRIGA-RINCONADA, DARAGA-CAGSAWA, Emeritus, Senior
DISTRICT B5 SORSOGON KASANGGAYAHAN, DAET-CAMARINES NORTE, TABACO, Member
(BICOL REGION) Article IV Section 1.2.2
CATANDUANES, MASBATE RODEO On or
3. Annual Dues Chapter Dues – shall be established by the
before
end
(Chapter) Chapter Board to be remitted on or before end of
AREA C of August
August.
DISTRICT C1 CEBU, DUMAGUETE, RAJAH HUMABON, BOHOL, LAPU-LAPU, SUGBU, C. FOR CHAPTER
(CENTRAL VISAYAS) CEBU LEON KILAT, METRO CEBU, FORT SAN PEDRO Article IV Section 2.3
DISTRICT C2 Each Chapter shall pay a Chapter annual fee, in
BACOLOD, NEGRENSE, MT. KANLAON
(WESTERN VISAYAS) 1. Chapter Annual Fee such amount determined by the National Board of P1,500.00 August 31
DISTRICT C3 LEYTE, SAN JUANICO, LEYTE WEST, METRO TACLOBAN, SAMAR Directors, and shall be remitted to the National
(EASTERN VISAYAS) SINIRANGAN Treasurer on or before August 31.
DISTRICT C4 D. FOR CHAPTER ABROAD
ILOILO, CAPIZ, MARIKUDO, ANTIQUE, HAMILI, AKLAN
(PANAY ISLAND) Article IV Section 2.1
The initial membership fee shall be assessed on
new members upon registration, in such amount
AREA D 1. Initial Membership determined by the National Board of Directors, Upon
US$ 5
applicatio
DISTRICT D1 DAVAO, MOUNT APO, COTABATO, SOCSKSARGEN, DATU BAGO-DABAW, Fee and shall be collected by the Chapter and must n
(SOUTHERN KADAYAWAN-DABAW, NORTH DAVAO , DAVAO ALPHA, BALLADAW be remitted to the National Treasurer. Provided,
MINDANAO) DABAW • SINLAYAN-DABAW however, that in no case shall said fee be greater
than the national annual membership dues.
DISTRICT D2
(WESTERN ZAMBOANGA, ZAMBOANGA-CHAVACANO Article IV Section 2.2
MINDANAO) The national annual membership dues, in such
amounts determined by the National Board of
DISTRICT D3
Septembe
CAGAYAN DE ORO, BUTUAN, SURIGAO, GOLD-CDO, METRO KAGAY-AN, 2. National Annual Directors shall be collected by the Chapter and r
(NORTHERN US$20.00
CDO BAY Membership Dues must be remitted to the National Treasurer on or 30
MINDANAO)
before September 30. A member joining during
DISTRICT D4 the year shall pay the amount corresponding to
(NORTHERN ILIGAN CITY, DIPOLOG, OZAMIS CITY, PAGADIAN the full year’s dues.
MINDANAO)
Article IV Section 2.4
As may be On or
3. Chapter Annual The chapter annual membership dues, in such determined
before
Membership Fee amounts determined by the Chapter Board of by the
end
Chapter of August
Directors shall be collected from the members
WHAT IS UAP? Article IV Section 2.3
Each Chapter shall pay a Chapter annual fee, in
Joining the United Architects of the Philippines builds on the strength of thousands of your peers. It also 4. Chapter Annual Fee such amount determined by the National Board of US$20.00 August 31
enables you to tap into a network of knowledge; experience and vision that will help your professional Directors, and shall be remitted to the National
career grow. As UAP Member, you have access to knowledge and resources, a supportive network of Treasurer on or before August 31.
colleagues, and a reputation built on more than 34 years of service to the architecture profession. By E. OTHER CHARGES/FEES
completing and signing this Application Form, I agree to abide by the Code of Ethics and Standards of Article IV Section 4.4
Professional Conduct, UAP Bylaws, its rules and regulations, and policies duly promulgated by the United Whenever a delinquent member makes full
P300.00
Architects of the Philippines as the Integrated and Accredited Professional Organization of Architects in payment of the membership dues owing, plus a
for late
the country in relation to Republic Act No. 9266. sum equivalent to 10 percent thereof, such fact
payment
shall without delay be reported to the UAP Upon
1. Penalty effective
MEMBER BENEFITS WITH UAP ADVANTAGE. The United Architects of the Philippines is the voice of National Board, which shall take such action as FY 2009- payment
the architectural profession and the resource for its members in service to society. We serve our may be warranted.
2010 (per
UAP General Assembly Resolution No. 01-11,
membership in all areas of the profession, professionals, professional products and professional s. 2009 and UAP Board Resolution No. 09-10
year)
organization including: connecting members with peers, vendors and professional opportunities; providing
4-02
convenient continuing education programs; and leading government advocacy programs that benefit
Executive Order No. 0708-004, series of 2007
architects. UAP works to increase public awareness of the built environment and the role architects and 2. UAP Corporate ESTABLISHING GUIDELINES FOR THE
affiliated professionals play in making Philippines one of the best in ASIA. Identification Card ISSUANCE OF UAP MEMBERSHIP CARD TO P100.00
ALL UAP MEMBERS IN GOOD STANDING
UAP IS ABOUT PEOPLE Architects working together, helping each other create better places to live, 3. Re-printing of UAP
work, and play. Membership in the UAP offers a vast pool of resources to help you compete in today's Annual Membership Administrative Cost P100.00
market and keeps you informed of critical professional issues that may challenge your success. Moreover, Certificate
when you get involved locally through your UAP's local and international Chapters, you make new friends, 4. Certificate of Good
Administrative Cost P100.00
expand your professional contacts and knowledge base, and work together with colleagues to improve Standing
the quality of life in your home community. 5. Facilitation of the
Renewal of PRC UAP Board Resolution No. 09-10, No. 5-07 P200.00
UAP IS ABOUT COMMUNITY Promoting fellowship and collaboration among members and within our Processing of IDs
community at large. UAP Members are design professionals who are eager to extend their professional
network, to share information and exchange ideas. The calendar of events incorporates a rich and varied CHAPTER CERTIFICATION
program of educational events, social gatherings, committee meetings, and other events that connect
members with each other, to the broader professional community, and to the public.

UAP IS ABOUT KNOWLEDGE Facilitating the sharing of Knowledge about Design and about Practice
I hereby certify that Arch.
that inspires and enables members and the public. UAP Chapters provides a variety of continuing
education programs that address current challenges, innovations, and practice trends. UAP Members
Juan Santos Dela Cruz
also have access to a variety of professional resources and technical materials at a discounted rate.
is a regular member of UAP Dubai Chapter and has paid and
UAP IS ABOUT ADVOCACY Serving as a voice on community, legislative and design matters and
promoting the rights of every registered and licensed architects and the value of their services to the settled his/her arrears and Chapter Dues for the Fiscal Year
public. UAP Chapter members work collaboratively with their local government units in coordination with
the UAP National to strengthen the voices of architects in government and community leadership at the 2018-2019 . As such, I hereby authorize him/her to directly pay his
city, municipal, provincial and national level. To promote the unique value of architects and the importance
of design excellence, UAP features members' works through programs like the National Design Annual UAP Membership Fee for the said Fiscal Year to UAP National
Competition sponsored by various non-government sectors.
Administration Office.

Bodderek Almilla 06/01/2018


Signature over Printed Name of Chapter President/ Treasurer Date

Dubai Membership Form Updated 06.01.2018

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