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: HKIA Membership No.: Employer: 4.2 (Name of Firm) days) Category of Exp. A / B / C Post Title: Duration: dd mm to yy dd mm yy ( mths Direct Office Supervisor: HKIA Membership No.: Adviser: HKIA Membership No.: Employer: 4.3 (Name of Firm) days) Category of Exp. A / B / C Post Title: Duration: dd mm to yy dd mm yy ( mths Direct Office Supervisor: HKIA Membership No.: Adviser: HKIA Membership No.: Employer: 4.4 (Name of Firm) days) Category of Exp. A / B / C Post Title: Duration: dd mm to yy dd mm yy ( mths Direct Office Supervisor: HKIA Membership No.: Adviser: HKIA Membership No.: 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 HKIA/ARB Professional Assessment Application Form for PA2015 Papers 3, 4 and 5 – 1 Quarter 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 Form-2015/Professional Assessment Admin 2015 Paper 3, 4, 5 – 1 Quarter 3 st HKIA/ARB Professional Assessment Application Form for PA2015 Papers 3, 4 and 5 – 1 Quarter 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 Form-2015/Professional Assessment Admin 2015 Paper 3, 4, 5 – 1 Quarter 4 st 5 HKIA/ARB Professional Assessment Application Form for PA2015 Papers 3, 4 and 5 – 1 Quarter 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 Form-2015/Professional Assessment Admin 2015 Paper 3, 4, 5 – 1 Quarter st 6 HKIA/ARB Professional Assessment Application Form for PA2015 Papers 3, 4 and 5 – 1 Quarter 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 Form-2015/Professional Assessment Admin 2015 Paper 3, 4, 5 – 1 Quarter st HKIA/ARB Professional Assessment Application Form for PA2015 Papers 3, 4 and 5 – 1 Quarter 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 Form-2015/Professional Assessment Admin 2015 Paper 3, 4, 5 – 1 Quarter 7 st HKIA/ARB Professional Assessment Application Form for PA2015 Papers 3, 4 and 5 – 1 Quarter 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 Form-2015/Professional Assessment Admin 2015 Paper 3, 4, 5 – 1 Quarter 8 st 9 HKIA/ARB B Professional Assessment Application 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 Form-2015/Professional Assessment Ad dmin 2015 Pape er 3, 4, 5 – 1 Quarter Q st 10 HKIA/ARB Professional Assessment Application Form for PA2015 Papers 3, 4 and 5 – 1 Quarter 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 Form-2015/Professional Assessment Admin 2015 Paper 3, 4, 5 – 1 Quarter st HKIA/ARB B Professional Assessment Application 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 chitects Reegistration Board 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 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 Form-2015/Professional Assessment Ad dmin 2015 Pape er 3, 4, 5 – 1 Quarter Q 11 st HKIA/ARB Professional Assessment Application Form for PA2015 Papers 3, 4 and 5 – 1 Quarter Candidate No.: ___________ REPLY SLIP To : 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 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 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 Form-2015/Professional Assessment Admin 2015 Paper 3, 4, 5 – 1 Quarter 12 st HKIA/ARB B Professional Assessment Application 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 chitects Reegistration Board 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 professsional asssessment. Kindly n 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 HKIA/ARB Professional Assessment Application Form for PA2015 Papers 3, 4 and 5 – 1 Quarter Candidate No. ___________ REPLY SLIP To : 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 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 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 Form-2015/Professional Assessment Admin 2015 Paper 3, 4, 5 – 1 Quarter
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