Registration Form (in PDF Format)

Transcription

st
1
HKIA/ARB
B Professional Assessment Application
A
Fo
orm for PA2015
5 Papers 3, 4 an
nd 5 – 1 Quartter
香港建
建築師學會
會
建築師註
註册管理局
局
The Hong Kong Institute of Architectts
Arc
chitects Reegistration Board
HKIA/A
ARB PROFESSIONA
AL ASSES
SSMENT APPLICAT
A
TION FOR M –
Papers
s 3, 4 and 5
Year o
of attempt: 1st Quarte
er of 2015
5
Applica
ation Dead
dline: 5:30p
pm on Wed
dnesday, 31
1 Decembe
er 2014
Quota fo
for registratio
on is limited to 200 seats
ts only, the re
egistration fo
or PA2015 - 1 st Quarter (P
Papers 3,
4 and 5)) is on a firstt-come-first-s
served basis.. Please reg
gister early to
o reserve youur seat.
Online registration
n is now avaiilable at www
w.joinhkia.net. Candidates may choosse to registerr via this
online p
platform.
1.
Personal Particulars
Name:: (English)
Surname
Given Name
Photo
(Chinese) (if any)
Date o
of Birth:
HKID/P
Passport No.:
N
Gender:
Name of Office:
Office Address:
Office Tel.:
Office Fa
ax:
Email A
Address:
(please
(
quote frrequently-used account)
a
Home Address:
Office Addres
ss □
Correspon
ndence to be se
ent to (please tic
ck appropriate b
box*):
Home Addres
ss □
* Please m
make sure the correspondence
c
e address is iden
ntical with the submitted addres
ss labels
Home Tel. & Faxx:
HKIA G
Graduate Member
M
/A
Associate*
Mobile / Pager:
Yes
□ GM/AM Noo.:
No
N
□
I am su
ubmitting my
m application underr the follow
wing catego
ory(s) ( thhe correct box):
A: Grad
duate of Accredited or Recognised Schools
□ D: Re-sitting Candidate
C
□
B: Grad
duate from Othe
er Schools
□ Latest past atteempt in Year _______Quarter 1 / 2 / 3 / 4*
C: Non-local Professio
onal in Architecture
□ *delete where appropriate
a
2. Current Adv
viser
3. ***Current Office
O
Sup
pervisor
Name:
Name:
N
HK
KIA Membe
ership No.:
HKIA
H
Memb
bership Noo.:
** If youu are currenttly between jobs, please name your laast Office Su
upervisor.
st
Form-2015/Professional Assessment Ad
dmin 2015 Pape
er 3, 4, 5 – 1 Quarter
Q
st
2
HKIA/ARB Professional Assessment Application Form for PA2015 Papers 3, 4 and 5 – 1 Quarter
4. Practical Experience:
(in chronological order starting from the latest practical experience)
Give details on a separate sheet to be attached to the application form if space is
insufficient.
Employer:
4.1 (Name of Firm)
Category of Exp. A / B / C
Post Title:
Duration:
dd
mm
to
yy
dd
mm
yy
(
mths
Direct Office
Supervisor:
HKIA Membership No.:
Adviser:
Employer:
4.2 (Name of Firm)
days)
Post Title:
Duration:
dd
mm
to
yy
dd
mm
yy
(
mths
Direct Office
Supervisor:
Adviser:
Employer:
4.3 (Name of Firm)
days)
Post Title:
Duration:
dd
mm
to
yy
dd
mm
yy
(
mths
Direct Office
Supervisor:
Adviser:
Employer:
4.4 (Name of Firm)
days)
Post Title:
Duration:
dd
mm
to
yy
dd
mm
yy
(
mths
Direct Office
Supervisor:
Adviser:
days)
*Candidates taking the Professional Assessment for the first time are required to seek confirmation
on present & past periods of employment (P.13-14) to demonstrate your fulfillment of the minimum
12-month practical experience requirement for attempting Papers 3, 4 and 5. The confirmation
letters should reach the HKIA on or before 31 December 2014. Re-sitting candidates are not
required to resubmit confirmations of practical experience.
st
Form-2015/Professional Assessment Admin 2015 Paper 3, 4, 5 – 1 Quarter
st
5. Academic / Professional Qualifications:
(in chronological order starting from the latest qualifications)
Name of University / Professional
Date of Attainment
Programme Title (in full) / Professional
Body / Registration Body
(dd.mm.yy)
Qualification
5.1
5.2
5.3
5.4
5.5
All PA applicants except under the following circumstances must provide confirmation(s) of academic
qualification for both pre-professional and professional degree (P.9-10) on or before 31 December
2014:
- Applicants are re-sitting candidates.
- Applicants are elected HKIA Graduate Members/ Associates who hold a professional degree in
architecture at the time of application for Graduate/ Associate Membership.
- The academic qualifications are BA (AS) / M Arch obtained from HKU
OR BSSc (AS) / M Arch obtained from CUHK
OR BSc (Hons) in Architectural Studies obtained from City U.
*Confirmation of professional qualification (P.11-12) is required only if you are taking the Professional
Assessment as a non-local Professional (as stated in Section 4 of Professional Assessment
Handbook). The confirmation letters should reach the HKIA on or before 31 December 2014.
Please make extra copy of confirmation(s) of academic qualification (P.9-10) and confirmation of
professional qualification (P.11-12) if you have to request confirmation from more than 1 University or
Professional Institute.
st
3
st
6.
Declaration by Candidate
6.1
I (name in full)
being an
applicant for admission to be a candidate for the Professional Assessment held by
The Hong Kong Institute of Architects in the 1st Quarter of 2015 do hereby
DECLARE that the above is a TRUE STATEMENT OF ALL MY PARTICULARS. I
also hereby authorize The Hong Kong Institute of Architects to make any reasonable
enquiries into the information given above.
6.2
I understand that I will have to obtain a minimum of 12 months’ practical experience
on or before 31 December 2014. Otherwise, I will not be allowed to take the
PA2015 Papers 3, 4 and 5 in March 2015.
6.3
Personal Data (Privacy) Ordinance:
My personal particulars can be released to third parties for confirmation of my
qualification and experience.
Yes
□
No
□
(Please tick as appropriate)
6.4
I am aware that I shall be subject to penalty as deemed appropriate by the Institute
should I submit information fraudulently or dishonestly. I am also aware that fraud
and forgery of documents constitute criminal offence under Hong Kong laws.
6.5
I have read the registration requirements, procedures & deadlines as well as the
Professional Assessment rules detailed in the Professional Assessment Handbook
and relevant circulars. I shall abide by the rules therein.
Signature of Candidate
Date
Note: Acceptance of the Application Form at the HKIA does not automatically allow you to sit the
Professional Assessment. The information submitted in this Form shall be subject to
verification. An Admission Card will be issued to you when your eligibility is confirmed.
st
4
st
5
7. Acknowledgement of Application (To be filled in by HKIA)
Name of Candidate :
Candidate Number :
Thank you for your application to sit the Professional Assessment 2015 – 1st Quarter.
Required items:
Submitted
Outstanding
1. Copy of identification document (Note1)
☐
☐
2. Professional Assessment fee
☐
☐
3. Photo(s)_________ (Note 2)
☐
☐
4. Open-Book Declaration Form
☐
☐
5. Copy of academic / professional certificate(s) (Note 3)
☐
☐
6. Original Confirmation(s) of Academic Qualification
☐
☐
7. Original Confirmation(s) of Professional Qualification
☐
☐
8. Original Confirmation(s) of Practical Experience
☐
☐
9. Others:
☐
☐
□ Substantiating documents & items complete. We shall contact you should further supporting
documents be required for assessment of your eligibility.
The item(s) indicated in the table above pertaining to your application for professional assessment
is/are outstanding. Please submit them to the Institute before 5:30pm, 31 December 2014.
According to Chapter 5 of the HKIA/ARB Professional Assessment Handbook, your application will
be rejected if they were not submitted on or before the said date. The registration fee is nonrefundable under any circumstances. Thank you.
Note 1: One copy of your identity card or relevant pages of your Passport is required. Should your
name on any required documents differ from that stated on your Identity Card or Passport,
declaration or relevant document of proof is required. Official translations for any documents not in
English or Chinese are required.
Note 2: Two photos in total - One passport-sized photograph with your name clearly printed on the
reverse; and one photograph adhered onto the box for photo on Page 1 of this form.
Note 3: Official translations for any documents not in English or Chinese are required.
FOR HKIA SECRETARIAT USE ONLY
Application
Received :
Eligibility for PA2015
– 1st Quarter
st
st
6
HKIA/ARB Professional Assessment 2015
Papers 3, 4 and 5 – 1st Quarter
7.1 APPLICATION PACKAGE – PAYMENT SLIP
Name
Candidate No
I would like to take the following papers (please tick as appropriate):
Paper Fee
Paper 3
Building Structures
□ HK$1,000
Paper 4
Building Services & Environmental Controls
□ HK$1,000
Paper 5
Building Materials & Technology
□ HK$1,000
Registration Fee
HKIA Graduate Member / Associate
Membership No._____________________
* In order to enjoy membership rate for applying PA2015, Graduate Members /
Associates have to settle the annual membership subscription fee of 2015.
Graduate Members are also required to submit the CPD Declaration form 2014.
Non-HKIA Member
□ HK$1,800
Total
PAYMENT
 By Cheque
□ HK$600
HK$
Cheque No.: ________________ Bank: ___________________
Payable to “The Hong Kong Institute of Architects”.
 By Credit Card
 Visa
 Master
Card No.
Expiry Date
Cardholder Name
Amount
Cardholder’s signature
Date
Note:
For any signs of change marked by correction pen / fluid, signature of the applicant next to the change(s) is required.
Signature
Date
st
st
7.2 GUIDELINES TO CANDIDATES ON OPEN-BOOK ARRANGEMENT
Starting from Professional Assessment 2014, HKIA will not provide candidates with
open-book reference. Candidates can bring their own HKIA listed reference books
to the Professional Assessment with the following conditions :
1.
2.
3.
Hand written marking on the HKIA listed reference books is allowed;
New memorandum of the regulations (that are not available for sale by the
government and with download version only) can be included in the listed
reference books; and
No any other materials (other than item 2) can be included in the listed
reference books.
Invigilators may conduct a random checking on candidates’ reference books at the
assessment venue. Invigilators have the authority to take away any suspected
materials for further investigation by the Professional Assessment Committee.
Candidates who bring unauthorized materials during the Professional Assessment
may receive disqualification.
Candidates should refer to the HKIA website for the latest list of HKIA open-book
reference books. Candidates are required to sign the declaration form attached
and submit with the registration form in each of the assessment.
st
7
st
Open-Book Declaration
Starting from HKIA/ARB Professional Assessment 2014, HKIA will not provide
candidates with open-book reference. Candidates can bring their own HKIA listed
reference books to the Professional Assessment with the following conditions :
1. Hand written marking on the HKIA listed reference books is allowed;
2. New memorandum of the regulations (that are not available for sale by the
government and with authorized download version only) can be included in the
listed reference books; and
3. No any other materials (other than item 2 above) can be included in the listed
reference books.
I
____________________________(Name
in
Full)
(Candidate
no.:
______________) hereby declare that I will observe and comply with the above
guidelines when I bring my open-book reference to the assessment centres. I
understand that invigilators may conduct random checks on the listed reference
books I bring along at the assessment centres and I may be disqualified if I am in
breach of the above rules.
I
______________________________(Name
in
Full)
(Candidate
no.:
_______________) also declare that I will observe and comply with the Copyrights
Ordinance of the listed reference books that I will bring to the assessment centres
are original copies, not copies or reproductions of the original copies. Copies printed
directly from the official websites with authorization are acceptable reference
materials. I understand that I may be subject to prosecution by the Customs and
Excise Department under the Copyright Ordinance, Chapter 528, Laws of Hong
Kong if I am in breach of this law.
Signature
Date
st
8
st
9
HKIA/ARB
A
Fo
orm for PA2015
5 Papers 3, 4 an
nd 5 – 1 Quartter
7.3 APPLICATION
N PACKAG
GE – CONFIIRMATION OF ACADEMIC QUA
ALIFICATIO
ON
Ca
andidate N
No.: ______
______
香港建
建築師學會
會
建築
築師註册管理
理局
建築
築師註册管理
理局
Architec
cts
Registrat
tion
Board
Architectss Registration Board
The Hong Kong Institute off Architects
s
Dear S
Sir
Confirrmation off Academiic Qualific
cation
The following gra
aduate of your
y
Unive rsity is app
plying to sit for the HK
KIA/ARB
st
Professsional Asssessment in PA2015 – 1 Quarrter:
Name::
Date o
of Birth:
Studen
nt Numberr:
Progra
amme Title
e (in full):
Mode o
of Study:
Full time / Part time
(Please deelete as apprropriate)
Progra
am Start Da
ate:
(dd/mm/yyyy)
Date o
of Completiion:
(dd/mm/yyyy)
Date o
of Conferra
al:
(dd/mm/yyyy)
Total S
Study Perio
od:
Year
Mo
onths
hall be grateful if you
u will kindl y confirm the above
e informatioon by com
mpleting
We sh
and re
eturning the
t
enclosed “Rep
ply Slip” ORIGINAL
O
L to the H
HKIA before 31
Decem
mber 2014
4 to faciliitate the above candidate’s applicationn for sitting the
professsional asssessment. Kindly n
note that such confirmation(ss) submittted via
email/ffax and copies of the
e confirmattion(s) are invalid.
Thank you.
Yours sincerely
Rita Cheung (Mrrs.)
CEO o
of HKIA / Registrar
R
off ARB
st
dmin 2015 Pape
Q
st
10
Candidate No.: ___________
To
:
REPLY SLIP
Mrs Rita Cheung
CEO of HKIA / Registrar of ARB
The Hong Kong Institute of Architects
19/F One Hysan Avenue
Causeway Bay, Hong Kong
(Fax no. for enquiries: (852) 2519 6011 or 2519 3364)
Confirmation of Academic Qualification
We hereby confirm the following information of the following graduate of this University:
Name:
Date of Birth:
Student Number:
Programme Title (in full):
Mode of Study:
(Please delete as appropriate)
Full time / Part time
Program Start Date:
(dd/mm/yyyy)
Date of Completion:
(dd/mm/yyyy)
Date of Conferral:
(dd/mm/yyyy)
Total Study Period:
Year
Months
The above degree is accredited / recognized by: (Please  as appropriate)
□ Architects Accreditation Council of Australia (AACA)
□ Commonwealth Association of Architects (CAA)
□ National Architectural Accrediting Board, Inc (NAAB)
□ National Board of Architectural Accreditation (NBAA)
Remarks (if any):
Signature
Name of University
Name and Title of Signatory
Please affix official chop
Note 1: Only the original confirmation will be accepted and copies of the confirmation are invalid.
Note 2: For any signs of change marked by correction pen / fluid, signature of the applicant next to
the change(s) is required.
st
st
HKIA/ARB
A
Fo
orm for PA2015
5 Papers 3, 4 an
nd 5 – 1 Quartter
7.4 APPLICATION
N PACKAG
GE – CONFIIRMATION OF PROFE
ESSIONAL
L QUALIFIC
CATION
Ca
andidate N
No.: ______
______
香港建
建築師學會
會
建築師註
註册管理局
局
The Ho
ong Kong Institute off Architects
s
Arc
Dear S
Sir
Confirrmation off Professio
onal Qual ification
The following me
ember of yo
our Institutte/Board is
s applying to
t sit for thhe HKIA/AR
RB
Professsional Asssessment in PA2015 –1st Quartter:
Name :
Class o
of Memberrship :
Membe
er Since :
Membe
ership Num
mber :
We sh
hall be grateful if you
u will kindl y confirm the above
e informatioon by com
mpleting
and re
eturning the
t
enclosed “Rep
ply Slip” ORIGINAL
O
L to the H
HKIA before 31
Decem
mber 2014
4 to faciilitate the above ca
andidate’s applicatioon for sittiing the
note that such confirmation(ss) submittted via
email/ffax and copies of the
e confirmattion(s) are invalid.
Thank you.
Yours sincerely
Rita Cheung (Mrrs.)
CEO o
of HKIA / Registrar
R
off ARB
st
dmin 2015 Pape
Q
11
st
Candidate No.: ___________
REPLY SLIP
To
:
Mrs Rita Cheung
Confirmation of Professional Qualification
We hereby confirm the following information of the following member of our
Institute/Board:
Name:
Class of Membership:
Member Since:
Membership Number:
Remarks (if any):
________________________________
Signature
_________________________
Name of Institute/Board
________________________________
_________________________
Note 2: For any signs of change marked by correction pen / fluid, signature of the applicant next to
the change(s) is required.
st
12
st
HKIA/ARB
A
Forrm for PA2015 Papers 3, 4 and 5 – 1 Quarteer
7.5 APP
PLICATION
N PACKAGE – CONFI RMATION OF PRACT
TICAL EXPE
ERIENCE
Candidate N
No.: _____
_______
香港建
建築師學會
建築師註
註册管理局
局
The Ho
ong Kong Institute of Architects
s
Arc
Dear S
Sir
Confirm
mation of Practical Experienc
ce
, is
Mr. /Mss
applyin
ng to sit for the HKIA
A/ARB Pro
ofessional Assessme
A
nt Papers 3, 4 and 5 in the
1st Qua
arter of 201
15.
I wish to seek your kind confirmatio
c
on of the employmen
e
nt record oof this can
ndidate.
The em
mploymentt details provided
p
byy the cand
didate are
e attached . Gratefu
ul if you
would cconfirm the
e authentic
city of the contents by signing and affixi ng your co
ompany
chop o
on the attacched shee
et, and retu
urning the
e ORIGINA
AL to thee HKIA before 31
Decem
mber 2014
4 to facilitate the above ca
andidate’s applicatioon for sitting the
note that such con
nfirmation(ss) submittted via
email/fa
ax and cop
pies of the confirmati on(s) are invalid.
Thank you.
Yours ssincerely
Rita Ch
heung (Mrss.)
CEO off HKIA / Re
egistrar of ARB
st
Form-2015
5/Professional Assessment
A
Adm
min 2015 Paperr 3, 4, 5 – 1 Qu
uarter
13
st
14
Candidate No. ___________
REPLY SLIP
To
:
Mrs Rita Cheung
Confirmation of Practical Experience of
Points to note for the candidate:
Note A
Please refer to paragraphs 2.3.3, 2.3.4 & 2.3.5 of HKIA/ARB Professional Assessment
Handbook on Category A / B / C experience.
Note B
Please fill in your experience in chronological order, starting with latest experience, and
include all duration of experience up to 31 December 2014.
Note C
The Confirmation of Practical Experience should be signed by either the company director
or the direct office supervisor who is a HKIA full member concurrently during your
employment period. For overseas practical experience, confirmation must be signed by
your direct office supervisor.
Note D: Please give particulars if your direct office supervisor is not an HKIA member (refer to PA
Handbook Section 2.3.4) and supply with a photocopy of the membership certificate of
your office supervisor.
Note E
Practical Experience from different firms should not be confirmed on the same
Confirmation of Practical Experience, separate confirmations of practical experience
should be used and attached to the application form.
Employer
(Name of Firm)
Direct Office
Supervisor
Post Title
Adviser
(HKIA
Member)
Experience Duration
(total no. of months)
on local
projects
[Please state
dd.mm.yy - dd.mm.yy
YES / NO]
. .
1.
Category
of
Experience
A/B/C
— . .
___ mths ___ days
. .
2.
— . .
___ mths ___ days
Signature
Note 2: For any signs of change marked by correction pen / fluid, signature of the applicant next to the
change(s) is required.
st

Registration Form (in PDF Format)

Transcription

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