HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 3Rdquarter 12

HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 1

香港建築師學會建築師註册管理局 The Hong Kong Institute of Architects Architects Registration Board

HKIA/ARB PROFESSIONAL ASSESSMENT APPLICATION FORM – Papers 3, 4 and 5 Year of attempt: 3 rd Quarter of 20 1 2

1. Personal Particulars

Name: (English) Surname Given Name Photo (Chinese) (if any) Date of Birth: HKID/Passport No.: Gender: Name of Office:

Office Address:

Office Tel.: Office Fax:

Email Address: (please quote frequently-used account) Home Address:

Correspondence to be sent to (please tick appropriate box): Office Address □ Home Address □ Home Tel. & Fax: Mobile / Pager:

HKIA Graduate/Associate Member* Yes □ GM/AM No.: No □ I am submitting my application under the following category (Please tick one box): A: Graduate of Accredited or Recognised Schools □ D. Resitting Candidate □ B: Graduate from Other Schools □ Candidate No. in 2011: ______C: Non-local Professional in Architecture □ Candidate No. in 2012-1st Q: ______Candidate No. in 2012-2ndQ: ______

2. Current Adviser 3. **Current Office Supervisor Name: Name: HKIA Membership No.: HKIA Membership No.:

** If you are currently between jobs, please name your last Office Supervisor and state the date up to which you work under his/her supervision.

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 2

4. Practical Experience: (in chronological order starting from the latest attainment)

If there is insufficient space, please give details on a separate sheet to be attached to the application form.

Employer: 4.1 Category of Exp. A / B / C (Name of Firm)

Post Title:

Duration: dd mm yy to dd mm yy ( months)

Direct Office HKIA Membership No.: Supervisor:

Adviser: HKIA Membership No.:

Employer: 4.2 Category of Exp. A / B / C (Name of Firm)

Post Title:

Duration: dd mm yy to dd mm yy ( months)

Direct Office HKIA Membership No.: Supervisor:

Adviser: HKIA Membership No.:

Employer: 4.3 Category of Exp. A / B / C (Name of Firm)

Post Title:

Duration: dd mm yy to dd mm yy ( months)

Direct Office HKIA Membership No.: Supervisor:

Adviser: HKIA Membership No.:

Employer: 4.4 Category of Exp. A / B / C (Name of Firm)

Post Title:

Duration: dd mm yy to dd mm yy ( months)

Direct Office HKIA Membership No.: Supervisor:

Adviser: HKIA Membership No.:

*Candidates taking the Professional Assessment for the first time are required to seek confirmation on present & past periods of employment (P. 12-13) to demonstrate you have satisfied the minimum 12 months practical experience requirement for Papers 3, 4 and 5. The confirmation letters should reach the HKIA before 13 July 2012. Re-sitting candidates are not required.

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 3

5. Academic / Professional Qualifications: (in chronological order starting from the latest attainment)

Year Conferred by University / Professional Body / Academic / Professional Qualification Attained Registration Body 5.1

5.2

5.3

5.4

5.5

5.6

*Confirmation of academic qualification (P.8-9) is required for all candidates except elected HKIA Graduate Members who hold a professional degree in architecture (e.g. M Arch or DipArch or B Arch) at the time of application for graduate membership and HKU & CUHK graduates. The confirmation letters should reach the HKIA before 13 July 2012. Re-sitting candidates are not required.

*Confirmation of professional qualification (P.10-11) is required only if you are taking the Professional Assessment as a non-local Professional (Section 4 of Professional Assessment Handbook refers.) The confirmation letters should reach the HKIA before 13 July 2012.

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 4

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 3rd Quarter of 2012 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 before 13 July 2012. Otherwise, I will not be allowed to take the PA2012 Papers 3, 4 and 5 in June 2012. 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 Form will be issued to you when your eligibility is confirmed.

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 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 2012 – 3rd Quarter.

Required documents and items: Submitted Outstanding

1. Identification document & copy (Note1) ☐ ☐

2. Professional Assessment fee ☐ ☐

3. Photo(s)______(Note 2) ☐ ☐

4. Address labels______☐ ☐

5. Original certificate(s) (for checking only) (Note 3) ☐ ☐

6. Confirmation of Academic Qualification ☐ ☐

7. Confirmation of Professional Qualification ☐ ☐

8. Confirmation 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 13 July 2012. 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. 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 passport-sized photographs with your name clearly printed on the reverse (These are in addition to the photograph adhered onto the box for photo on Page 1 of this form)

Note 3 : One set of copies and the originals of the educational and professional certificates in support of your application will be returned to you immediately after checking. Official translations for any documents not in English or Chinese are required.

FOR HKIA SECRETARIAT USE ONLY

Application Eligibility for PA2012 Received : – 3rd attempt

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 6

7.1 APPLICATION PACKAGE – PROFESSIONAL ASSESSMENT FEE

Name: Date: Candidate No.:

I am sitting for the following papers (please tick as appropriate): Papers Fees Paper 3 Building Structures □ $800

Paper 4 Building Services & Environmental Controls □ $800

Paper 5 Building Materials & Technology □ $800 Registration Fee (Optional)* Membership No.: Graduate / Associate Members (please quote membership no.) □ $500 ______

Non-Members □ $1500

*Candidates who have taken PA2012 – 1st or 2nd Quarters are not required to pay the registration fee. Total Amount: $

PAYMENT □ By Cheque I enclose a cheque payable to “The Hong Kong Institute of Architects” Cheque No. : Bank: □ By Credit Card □ Visa □ Master Card No.: □□□□-□□□□-□□□□-□□□□ Expiry Date: Cardholder’s Name: Amount: HK$ Date:

Cardholder’s signature:

For office use only: Authorization Code: Date:

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 7

7.2 APPLICATION PACKAGE – ADDRESS LABELS (Candidates are requested to submit self-adhesive labels with their application form.)

Name ______Name ______Address ______Address ______

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 8

7.3 APPLICATION PACKAGE – CONFIRMATION OF ACADEMIC QUALIFICATION Candidate No.: ______

香港建築師學會建築師註册管理局建築師註册管理局 The Hong Kong Institute of Architects Architects Registration Board Architects Registration Board

Dear Sir

Confirmation of Academic Qualification

The following graduate of your University is applying to sit for the HKIA/ARB Professional Assessment in PA2012 – 3rd Quarter :

Name:

Date of Birth:

Student number:

Qualification attained:

Mode of study: Full time / Part time (Please delete as appropriate)

Date of commencement: (dd/mm/yyyy)

Date of completion: (dd/mm/yyyy)

Date of conferral: (dd/mm/yyyy)

We shall be grateful if you will kindly confirm the above information by completing and return ing the original to the HKIA before 13 July 2012 to facilitate the above candidate’s application for sitting the professional assessment.

Thank you.

Yours sincerely

Rita Cheung (Mrs.) Registrar

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 9

Candidate No.: ______

REPLY SLIP

To : Mrs Rita Cheung Registrar The Hong Kong Institute of Architects 19/F One Hysan Avenue Causeway Bay, Hong Kong (Fax: (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:

Qualification attained:

Mode of study: Full time / Part time (Please delete as appropriate)

Date of commencement: (dd/mm/yyyy)

Date of completion: (dd/mm/yyyy)

Date of conferral: (dd/mm/yyyy)

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, USA (NAAB) □ National Board of Architectural Accreditation, China (NBAA)

Remarks (if any):

Signature Name of University

Name and Title of Signatory Please affix official chop

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 10

7.4 APPLICATION PACKAGE – CONFIRMATION OF PROFESSIONAL QUALIFICATION

Candidate No.: ______

香港建築師學會建築師註册管理局 The Hong Kong Institute of Architects Architects Registration Board

Dear Sir

Confirmation of Professional Qualification

The following member of your Institute/Board is applying to sit for the HKIA/ARB Professional Assessment Papers 3, 4 and 5 in the 3rd Quarter of 2012:

Name : Class of Membership : Member Since : Membership Number :

Thank you.

Yours sincerely

Rita Cheung (Mrs.) Registrar

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 11

Candidate No.: ______

REPLY SLIP

To : Mrs Rita Cheung Registrar The Hong Kong Institute of Architects 19/F One Hysan Avenue Causeway Bay, Hong Kong (Fax: (852) 2519 6011 or 2519 3364).

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

______Name and Title of Signatory Please affix official chop

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 12 7.5 APPLICATION PACKAGE – CONFIRMATION OF PRACTICAL EXPERIENCE

Candidate No.: ______

香港建築師學會建築師註册管理局 The Hong Kong Institute of Architects Architects Registration Board

Dear Sir

Confirmation of Practical Experience

Mr. /Ms , is applying to sit for the HKIA/ARB Professional Assessment Papers 3, 4 and 5 in the 3rd Quarter of 2012.

I wish to seek your kind confirmation of the employment record of this candidate. The employment details provided by the candidate are attached. Grateful if you would confirm the authenticity of the contents by signing and affixing your company chop on the attached sheet, and return ing the original to the HKIA before 13 July 2012 to facilitate the above candidate’s application for sitting the professional assessment.

Thank you.

Yours sincerely

Rita Cheung (Mrs.) Registrar

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 13 Candidate No. ______

REPLY SLIP

To : Mrs Rita Cheung Registrar The Hong Kong Institute of Architects 19/F One Hysan Avenue Causeway Bay, Hong Kong (Fax: (852) 2519 6011 or 2519 3364).

Confirmation of Practical Experience of

Points to note for the candidate: Please fill in your experience in chronological order, starting with latest experience, and include all duration of Note A experience up to 13 July 2012 Note B If your direct Office Supervisor is not an HKIA Member, please give particulars. Please refer to paragraphs 2.3.3, 2.3.4 & 2.3.5 of HKIA/ARB Professional Assessment Handbook on Category Note C A / B / C experience.

Experience Duration Direct Office Category on local (total no. of months) Employer Supervisor of Post Title Adviser projects (Name of Firm) (HKIA Experience [Please state Member) dd.mm.yy - dd.mm.yy A / B / C YES / NO]

(months) 1. . . - . . (months) 2. . . - . .

Signature

Name and Title of Signatory Please affix official chop

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter HKIA/ARB Professional Assessment Application Form for PA2012 Papers 3, 4 and 5 – 3rdQuarter 14

Form-2012/Professional Assessment Admin 2012 Paper 3, 4, 5 – 3rdQuarter