Licensed Associate Form - Experienced Design Consultant in Respective Practices

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This form is for Licensed Associate's submission.

(Professional Engineer, Professional Architect, Registered Quantity Surveyor and Licensed Town Planner).

If you wish to submit as an Associate, kindly click here »

If you wish to submit as a Company Associate, kindly click here »

All fields are required.

1) Personal Information

Your Name *

Photo *

Please attach your passport size photo
(Resolution of 300dpi, 35mm x 50mm with formal attire),
File type:jpg|jpeg|png|pdf. Max file size: 1048KB

Sample Photo:
ipm-apply-ass-engineer-sample-photo

Professional Membership No. (E.g.: LAM / BEM / MIP / BQSM) *

Gender *

Male
Female

New IC Number *

Telephone No. (e.g. +60129876543) *

Your Email *

Permanent Address *

Correspondence Address *

Company Name *

Designation *

Practising Since (Year) *

2) Select Your Area(s) of Expertise

Other(s)

Please attach your resume here (File type: jpg|jpeg|png|pdf Max file size:10MB) *

Kindly attach your Professional Certificate (File type: jpg|jpeg|png|pdf Max file size:10MB) *

3) Tell us about the softwares you're competent at

1. *

4) Preferred Location(s)

Preferred State(s) *

Preferred Town(s) *

5) Your Services

Please select the type of services you can offer to IPM:

Type of Services *

Prepare Drawing(s) / Report(s) / Contract Document(s)
Attending Meeting(s) (Including Meetings with Government Departments)
Endorsement(s)

6) Disclosure of Information

Please tick (✔) in the relevant boxes if you agree to disclose the information on our social media website and other documents for distribution.

Let us know your preferred name/nickname for disclosure:

I Agree *

I hereby acknowledge that I have read and agree to the Terms and Conditions.

We pledge to fully comply with the requirements of the Personal Data Protection Act 2010 (“PDPA”). In which your personal information collected from or provided by you is processed, disclosed and safeguarded by IPM.

Kindly reenter following for verification purpose:

Name *

New IC Number *

I hereby certify that all the above information given are true and correct as to the best of my knowledge. *