ࡱ> RTQ] gbjbj11 2N[,\[,\gx x  )t$S!` l$.80)@,!!l!l(R)!x > : Date filed: _________RENEWAL OF ACCREDITATION AS CONSTRUCTORS PERFORMANCE EVALUATOR (CPE) CPE Form 1Please put a ( ) as an indicator of the Performance Rating of herein applicant as CPE of your agency for the last three (3) years _____ Very Satisfactory ______ Satisfactory ______ Fair ______ Poor  Individual Application Form ____ 1st Renewal of CPE-accreditation ____2nd Renewal of CPE accreditation ____3rd Renewal of CPE accreditation ____4th Renewal of CPE accreditation 1 x 1 ID picture (2 copies) A. BACKGROUND INFORMATION Name:__________________________________________ Nickname:________________Age:_________Position/Designation:_______________________________ Bureau/Unit Assigned:_____________________ _____________________Profession:_______________________________________ _______________________________________ _______________________________________PRC No/s:.______________________________ ________________________________ Date Issued: ___________________________ ___________________________Agency/Region:_________________________________ ______________________________________________Office & E-mail Addresses:_________________ _______________________________________ _______________________________________Work Specialization/Field of Expertise: ___________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Office Tel. Nos.:_______________________________ Office Fax. Nos.:______________________________Cell Phone Nos.:__________________________ __________________________Residence Address: __________________________________________________________________________ Tel. Nos.:_________________________________________ No. of years in government service____________No. of years as private practitioner/employed with private companies:________________ Membership in Professional Organization: _________________________________________________________ ___________________________________________________________________________________________EDUCATIONAL BACKGROUND College/University CourseYearSchool/UniversityMasteral/Graduate StudiesYearSchool/UniversitySpecial Courses/Foreign Seminars/Training YearWhere/When _______________________ Screened by: ________________________ Head, CPES-IUSignature of CPE-Applicant Date:________________________ CPE Form No. 2 CERTIFICATE OF ENDORSEMENT for Renewal of CPE Accreditation This is to certify that the following employees of the ________________________________________________________________________ as per existing records of this office, are of good moral character and have not been convicted of a crime involving moral turpitude, physically fit and technically capable to act as Constructors Performance Evaluators (CPEs). Further, hereunder employees have at least evaluated one (1) infrastructure project and have satisfactory performances as CPEs. 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